Sioux Valley Clinic Mountain Lake | |
308 8th St N Mountain Lake MN 56159-1568 | |
(507) 427-3332 | |
Not Available |
Full Name | Sioux Valley Clinic Mountain Lake |
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Speciality | Clinic/center - Rural Health |
Location | 308 8th St N, Mountain Lake, 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 |
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Sioux Valley Clinic Mountain Lake Po Box 5074 Sioux Falls SD 57117-5074 Ph: (605) 328-4540 | Sioux Valley Clinic Mountain Lake 308 8th St N Mountain Lake MN 56159-1568 Ph: (507) 427-3332 |
NPI Number | 1215091145 |
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Provider Enumeration Date | 12/22/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1215091145 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Sanford Clinic Mountain Lake Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 308 8th St N, Mountain Lake, MN 56159 Phone: 507-427-3332 Fax: 507-427-2493 |