| Southwestern Minnesota Opportunity Council, Inc. | |
|
909 4th Ave Worthington MN 56187-2326 | |
| (504) 376-4195 | |
| (507) 372-4214 |
| Full Name | Southwestern Minnesota Opportunity Council, Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 909 4th Ave, Worthington, Minnesota |
| Authorized Official Name and Position | Lori C Klooster (HEALTH SERVICES DIRECTOR) |
| Authorized Official Contact | 5073764195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwestern Minnesota Opportunity Council, Inc. 909 4th Ave Po Box 787 Worthington MN 56187-2326 Ph: (507) 376-4195 | Southwestern Minnesota Opportunity Council, Inc. 909 4th Ave Worthington MN 56187-2326 Ph: (504) 376-4195 |
| NPI Number | 1568505493 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568505493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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