Sanford Clinic Walnut Grove | |
830 8th St Walnut Grove MN 56180-1117 | |
(507) 859-2157 | |
(507) 859-2457 |
Full Name | Sanford Clinic Walnut Grove |
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Speciality | Family Medicine |
Location | 830 8th St, Walnut Grove, Minnesota |
Authorized Official Name and Position | Tony Lee Morrison (VICE PRESIDENT, REVENUE CYCLE) |
Authorized Official Contact | 6053288380 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sanford Clinic Walnut Grove Po Box 5074 Sioux Falls SD 57117-5074 Ph: (605) 328-6585 | Sanford Clinic Walnut Grove 830 8th St Walnut Grove MN 56180-1117 Ph: (507) 859-2157 |
NPI Number | 1033306931 |
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Provider Enumeration Date | 09/25/2007 |
Last Update Date | 06/25/2020 |
Medicare PECOS PAC ID | 6800707100 |
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Medicare Enrollment ID | O20041129000938 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033306931 | NPI | - | NPPES |
163313900 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |