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445 1st St E Halstad MN 56548-4142 | |
(218) 456-2158 | |
(218) 456-2197 |
Full Name | |
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Speciality | Clinic/Center |
Location | 445 1st St E, Halstad, 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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Po Box 5074 Sioux Falls SD 57117-5074 Ph: (605) 328-6585 | 445 1st St E Halstad MN 56548-4142 Ph: (218) 456-2158 |
NPI Number | 1407882780 |
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Provider Enumeration Date | 06/25/2006 |
Last Update Date | 11/27/2023 |
Medicare PECOS PAC ID | 8022206663 |
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Medicare Enrollment ID | O20180129002302 |
Identifier | Type | State | Issuer |
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1407882780 | NPI | - | NPPES |
391820300 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |