Sleepy Eye Medical Center | |
400 4th Avenue Nw Sleepy Eye MN 56085-0323 | |
(507) 794-3691 | |
(507) 794-5950 |
Full Name | Sleepy Eye Medical Center |
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Speciality | Clinic/Center |
Location | 400 4th Avenue Nw, Sleepy Eye, Minnesota |
Authorized Official Name and Position | Kevin Robert Sellheim (CEO/ADMINISTRATOR) |
Authorized Official Contact | 5077948440 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sleepy Eye Medical Center 400 4th Ave Nw Sleepy Eye MN 56085-1109 Ph: (507) 795-3691 | Sleepy Eye Medical Center 400 4th Avenue Nw Sleepy Eye MN 56085-0323 Ph: (507) 794-3691 |
NPI Number | 1215906680 |
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Provider Enumeration Date | 03/16/2006 |
Last Update Date | 09/25/2019 |
Medicare PECOS PAC ID | 0840102794 |
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Medicare Enrollment ID | O20040127000731 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215906680 | NPI | - | NPPES |
0186394 | Other | MEDICA | |
487308400 | Medicaid | MN | |
CJ9359 | Other | MEDICARE RAILROAD | |
01013532 | Other | PREFERRED ONE | |
400031 | Other | MN | UCARE RHC PHYSICIAN FEES |
106628 | Other | UCARE SLEEPY EYE CLINIC | |
112501 | Other | UCARE MORGAN CLINIC | |
308014900 | Medicaid | MN | |
7S90SL | Other | MN | BCBS-RHC |
43202SL | Other | MN | BCBS PROF FEES & MORGAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (Minnesota) | Secondary |
261QR1300X | Clinic/center - Rural Health | (Minnesota) | Primary |
Provider Name | Susan Ahlness |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720057193 PECOS PAC ID: 8820991052 Enrollment ID: I20040127000857 |
Provider Name | Timothy A Klassen |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1003973157 PECOS PAC ID: 6002840931 Enrollment ID: I20050921000097 |
Provider Name | Harmandeep K Dhaliwal |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083810907 PECOS PAC ID: 9133209497 Enrollment ID: I20071228000159 |
Provider Name | Venkata K Murthy |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1497724892 PECOS PAC ID: 6204963192 Enrollment ID: I20100426000068 |
Provider Name | John J Pelzel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124319025 PECOS PAC ID: 1557519790 Enrollment ID: I20120913000483 |
Provider Name | Adam Gene Armbruster |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033370077 PECOS PAC ID: 7911185988 Enrollment ID: I20121113000414 |
Provider Name | Karlyn Leigh Armbruster |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194953034 PECOS PAC ID: 1658541859 Enrollment ID: I20121113000429 |
Provider Name | Timothy K Joyce |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447696687 PECOS PAC ID: 0042450918 Enrollment ID: I20130717000670 |
Provider Name | Jennifer L Hillestad |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407234982 PECOS PAC ID: 9133430762 Enrollment ID: I20150623001302 |