| Selah Wellness Clinic Llc | |
|
263 W 4th St Rush City MN 55069-4419 | |
| (320) 372-2323 | |
| Not Available |
| Full Name | Selah Wellness Clinic Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 263 W 4th St, Rush City, Minnesota |
| Authorized Official Name and Position | Naomi Koenig (CEO) |
| Authorized Official Contact | 3203722323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Selah Wellness Clinic Llc 501 Main St Sandstone MN 55072-4410 Ph: (320) 372-2323 | Selah Wellness Clinic Llc 263 W 4th St Rush City MN 55069-4419 Ph: (320) 372-2323 |
| NPI Number | 1508576372 |
|---|---|
| Provider Enumeration Date | 12/01/2022 |
| Last Update Date | 12/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508576372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
Fairview Clinics-rush City Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 760 W 4th St, Rush City, MN 55069 Phone: 320-358-4784 Fax: 320-358-4665 |