| Superiorhealth Center | |
|
211 S Boundary Ave Proctor MN 55810-2306 | |
| (218) 624-4819 | |
| (218) 624-7323 |
| Full Name | Superiorhealth Center |
|---|---|
| Speciality | Clinic/center |
| Location | 211 S Boundary Ave, Proctor, Minnesota |
| Authorized Official Name and Position | Terry R Jacobson (CEO) |
| Authorized Official Contact | 2187402330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Superiorhealth Center 211 S Boundary Ave Proctor MN 55810-2306 Ph: (218) 624-4819 | Superiorhealth Center 211 S Boundary Ave Proctor MN 55810-2306 Ph: (218) 624-4819 |
| NPI Number | 1902833874 |
|---|---|
| Provider Enumeration Date | 06/27/2006 |
| Last Update Date | 05/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902833874 | NPI | - | NPPES |
| 558210500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Essentia Health Proctor Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 S Boundary Ave, Proctor, MN 55810 Phone: 218-624-4819 |