Sanford Health Ulen Clinic | |
108 Viking Avenue W Ulen MN 56585 | |
(218) 596-8867 | |
(218) 596-8112 |
Full Name | Sanford Health Ulen Clinic |
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Speciality | Clinic/Center |
Location | 108 Viking Avenue W, Ulen, 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 Health Ulen Clinic Po Box 2168 Fargo ND 58107-2168 Ph: (701) 234-2119 | Sanford Health Ulen Clinic 108 Viking Avenue W Ulen MN 56585 Ph: (218) 596-8867 |
NPI Number | 1801818497 |
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Provider Enumeration Date | 07/24/2006 |
Last Update Date | 11/29/2022 |
Medicare PECOS PAC ID | 8426967803 |
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Medicare Enrollment ID | O20230104000377 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801818497 | NPI | - | NPPES |
098718200 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |