Smart Clinic | |
322 S State St 5 Lake Center Drive Fairmont MN 56031-4139 | |
(507) 236-2880 | |
Not Available |
Full Name | Smart Clinic |
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Speciality | Family Medicine |
Location | 322 S State St, Fairmont, Minnesota |
Authorized Official Name and Position | Timothy C Bachenberg (PRESIDENT) |
Authorized Official Contact | 5072362880 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Smart Clinic 322 S State St 5 Lake Center Drive Fairmont MN 56031-4139 Ph: (507) 236-2880 | Smart Clinic 322 S State St 5 Lake Center Drive Fairmont MN 56031-4139 Ph: (507) 236-2880 |
NPI Number | 1699859124 |
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Provider Enumeration Date | 10/24/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 2961506860 |
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Medicare Enrollment ID | O20070403000140 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699859124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Karen A Uecker-bezdicek |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588661995 PECOS PAC ID: 0648233171 Enrollment ID: I20041105000741 |
Provider Name | Timothy C Bachenberg |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1093799603 PECOS PAC ID: 1951214626 Enrollment ID: I20041123000186 |
Provider Name | Rhonda Lynn Cornell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760775654 PECOS PAC ID: 0648236703 Enrollment ID: I20041209000736 |
Provider Name | Anita M Handevidt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891705968 PECOS PAC ID: 5698720910 Enrollment ID: I20050321000028 |
Provider Name | Carolyn J Drevlow |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609846989 PECOS PAC ID: 2264538198 Enrollment ID: I20070509000259 |
Provider Name | Theresa M Zeman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184860629 PECOS PAC ID: 6800953829 Enrollment ID: I20090318000678 |
Provider Name | Alisa S Eytcheson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427462993 PECOS PAC ID: 8022235514 Enrollment ID: I20140806002001 |
Provider Name | Stephanie Turner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588042915 PECOS PAC ID: 4183937592 Enrollment ID: I20150714001996 |
Provider Name | Tuyet A Hak |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518331719 PECOS PAC ID: 9739480757 Enrollment ID: I20151216002859 |
Provider Name | Kara Sue Ristau |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881113546 PECOS PAC ID: 4385903301 Enrollment ID: I20180122000909 |
Manna Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 S State St Ste 55, Fairmont, MN 56031 Phone: 507-238-4844 Fax: 507-235-5542 | |
Uhd - Fairmont Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 E 1st St, Fairmont, MN 56031 Phone: 507-238-1287 Fax: 507-238-9070 | |
Mayo Clinic Health System-fairmont Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8100 | |
Center For Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 717 S State St, Suite 800, Fairmont, MN 56031 Phone: 507-238-9533 Fax: 507-235-8561 | |
Integrity Medical Center, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 717 S State St Ste 600, Fairmont, MN 56031 Phone: 507-235-2924 Fax: 507-235-2923 | |
Mayo Clinic Health System-fairmont Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8100 |