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591 2nd Ave N Windom MN 56101-1927 | |
(507) 831-2223 | |
(507) 831-0135 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 591 2nd Ave N, Windom, Minnesota |
Authorized Official Name and Position | Tony Morrison (VICE PRESIDENT, REVENUE CYCLE) |
Authorized Official Contact | 6053288307 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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591 2nd Ave N Windom MN 56101-1927 Ph: (507) 831-2223 | 591 2nd Ave N Windom MN 56101-1927 Ph: (507) 831-2223 |
NPI Number | 1699772178 |
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Provider Enumeration Date | 06/30/2005 |
Last Update Date | 03/04/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699772178 | NPI | - | NPPES |
842958800 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Sanford Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2170 Hospital Dr, Windom, MN 56101 Phone: 507-831-1422 Fax: 507-831-4783 | |