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102 Minnesota Ave W Sebeka MN 56477-6004 | |
(218) 837-5333 | |
(218) 837-5944 |
Full Name | |
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Speciality | Clinic/Center |
Location | 102 Minnesota Ave W, Sebeka, 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 | 102 Minnesota Ave W Sebeka MN 56477-6004 Ph: (218) 837-5333 |
NPI Number | 1831185636 |
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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 | O20040423001109 |
Identifier | Type | State | Issuer |
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1831185636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |