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210 1st St Nw Bertha MN 56437-1218 | |
(218) 924-2250 | |
(218) 924-2257 |
Full Name | |
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Speciality | Clinic/Center |
Location | 210 1st St Nw, Bertha, Minnesota |
Authorized Official Name and Position | Joel Beiswenger (CEO) |
Authorized Official Contact | 2186317489 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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415 Jefferson St N Wadena MN 56482-1264 Ph: (218) 631-7501 | 210 1st St Nw Bertha MN 56437-1218 Ph: (218) 924-2250 |
NPI Number | 1134115942 |
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Provider Enumeration Date | 09/27/2005 |
Last Update Date | 02/03/2023 |
Medicare PECOS PAC ID | 2961395272 |
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Medicare Enrollment ID | O20100714000238 |
Identifier | Type | State | Issuer |
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1134115942 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |