Selah Wellness Clinic Llc | |
501 Main Street Sandstone MN 55072 | |
(320) 372-2323 | |
Not Available |
Full Name | Selah Wellness Clinic Llc |
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Speciality | Clinic/Center |
Location | 501 Main Street, Sandstone, Minnesota |
Authorized Official Name and Position | Naomi Koenig (NURSE PRACTITIONER) |
Authorized Official Contact | 3203722323 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Selah Wellness Clinic Llc Po Box 516 Sandstone MN 55072-0516 Ph: () - | Selah Wellness Clinic Llc 501 Main Street Sandstone MN 55072 Ph: (320) 372-2323 |
NPI Number | 1215676747 |
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Provider Enumeration Date | 06/02/2022 |
Last Update Date | 05/05/2023 |
Medicare PECOS PAC ID | 5597146852 |
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Medicare Enrollment ID | O20220718001776 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215676747 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Karissa M Ignaszewski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518222355 PECOS PAC ID: 7113162140 Enrollment ID: I20130322000335 |
Provider Name | Danielle M Carlin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962946509 PECOS PAC ID: 7911281308 Enrollment ID: I20170302001909 |
Provider Name | Naomi Jean Koenig |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659893170 PECOS PAC ID: 5193099240 Enrollment ID: I20170928000215 |
Provider Name | Amanda K Collins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730626524 PECOS PAC ID: 4183019656 Enrollment ID: I20220318001907 |
Provider Name | Brynn Lacey Hanken |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114672490 PECOS PAC ID: 5395127609 Enrollment ID: I20220803002194 |
Provider Name | Christine Marie Ward |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568748879 PECOS PAC ID: 1355502915 Enrollment ID: I20230301002178 |
Provider Name | Laura Jean Ausmus |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790485225 PECOS PAC ID: 6305206269 Enrollment ID: I20230724003273 |
Provider Name | Shelly Anne Kuhlmann |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215797113 PECOS PAC ID: 1951749035 Enrollment ID: I20240409002138 |
Gateway Family Health Clinic, Ltd. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 204 Lundorff Dr, Sandstone, MN 55072 Phone: 320-245-2250 Fax: 320-245-2555 | |
Aazhoomog Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 45741 Grace Lake Road, Sandstone, MN 55072 Phone: 320-384-0149 Fax: 320-384-0916 |