Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 308 10th St, Windom, Minnesota |
Authorized Official Name and Position | Steve W Goetsch (CFO) |
Authorized Official Contact | 6053286940 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 5074 Sioux Falls SD 57117-5074 Ph: (605) 328-4540 | 308 10th St Windom MN 56101-1451 Ph: (507) 831-2223 |
NPI Number | 1114081197 |
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Provider Enumeration Date | 12/21/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114081197 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Sanford Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2170 Hospital Dr, Windom, MN 56101 Phone: 507-831-1422 Fax: 507-831-4783 | |