| Sanford Health Mahnomen Clinic | |
|
410 4th St Nw Mahnomen MN 56557-4208 | |
| (218) 935-2514 | |
| (218) 935-2720 |
| Full Name | Sanford Health Mahnomen Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 410 4th St Nw, Mahnomen, 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 |
|---|---|
| Sanford Health Mahnomen Clinic Po Box 2168 Fargo ND 58107-2168 Ph: (701) 234-2119 | Sanford Health Mahnomen Clinic 410 4th St Nw Mahnomen MN 56557-4208 Ph: (218) 935-2514 |
| NPI Number | 1831131234 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 11/29/2022 |
| Medicare PECOS PAC ID | 8426967803 |
|---|---|
| Medicare Enrollment ID | O20230207001753 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831131234 | NPI | - | NPPES |
| 954222100 | Medicaid | MN |
Dakota Clinic, Ltd. - Mahnomen Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 N Main St, Mahnomen, MN 56557 Phone: 218-936-5616 Fax: 218-936-5619 | |
White Earth Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2471 310th Ave, Mahnomen, MN 56557 Phone: 218-935-2238 Fax: 218-935-5085 | |
Essentia Health St. Mary's - Mahnomen Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 N Main St, Mahnomen, MN 56557 Phone: 218-936-5616 |