| Sedra Medical Clinic Plc | |
|
213 Labree Ave N Suite #207 Thief River Falls MN 56701-2022 | |
| (218) 683-5137 | |
| (218) 683-5413 |
| Full Name | Sedra Medical Clinic Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 213 Labree Ave N, Thief River Falls, Minnesota |
| Authorized Official Name and Position | Hazem Sedra (PRESIDENT) |
| Authorized Official Contact | 2186835137 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sedra Medical Clinic Plc 213 Labree Ave N Suite #207 Thief River Falls MN 56701-2022 Ph: (218) 683-5137 | Sedra Medical Clinic Plc 213 Labree Ave N Suite #207 Thief River Falls MN 56701-2022 Ph: (218) 683-5137 |
| NPI Number | 1972840064 |
|---|---|
| Provider Enumeration Date | 01/09/2013 |
| Last Update Date | 01/09/2013 |
| Medicare PECOS PAC ID | 1951556554 |
|---|---|
| Medicare Enrollment ID | O20130305000625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972840064 | NPI | - | NPPES |
| 1669408753 | Other | MN | INDIVIDUAL NPI |
| 590610500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 47271 (Minnesota) | Primary |
| Provider Name | Hazem M Sedra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669408753 PECOS PAC ID: 3476544248 Enrollment ID: I20041202000994 |
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Dakota Clinic, Ltd. - Thief River Falls Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1720 Highway 59 S, Thief River Falls, MN 56701 Phone: 218-681-4747 Fax: 218-683-2595 | |
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