Sanford Health Gwinner Clinic | |
69 Highway 13 W Gwinner ND 58040-4127 | |
(701) 678-2263 | |
(701) 678-2063 |
Full Name | Sanford Health Gwinner Clinic |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 69 Highway 13 W, Gwinner, North Dakota |
Authorized Official Name and Position | Marth K Leclerc (VP) |
Authorized Official Contact | 7012346248 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sanford Health Gwinner Clinic 720 Fourth Street North Fargo ND 58122-0605 Ph: (701) 234-2000 | Sanford Health Gwinner Clinic 69 Highway 13 W Gwinner ND 58040-4127 Ph: (701) 678-2263 |
NPI Number | 1780690305 |
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Provider Enumeration Date | 08/01/2006 |
Last Update Date | 11/27/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780690305 | NPI | - | NPPES |
12857 | Medicaid | ND | |
CF8850 | Other | ND | RAILROAD MEDICARE |
1330001 | Other | ND | BLUE SHIELD |
5130 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |