| Westridge Clinic | |
|
2001 W Lincoln Ave Suite 56 Fergus Falls MN 56537-1010 | |
| (218) 739-5281 | |
| (218) 739-5283 |
| Full Name | Westridge Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 2001 W Lincoln Ave, Fergus Falls, Minnesota |
| Authorized Official Name and Position | Jim Wilkus (CEO) |
| Authorized Official Contact | 2187395281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westridge Clinic 615 S Mill St Fergus Falls MN 56537-2756 Ph: (218) 739-2221 | Westridge Clinic 2001 W Lincoln Ave Suite 56 Fergus Falls MN 56537-1010 Ph: (218) 739-5281 |
| NPI Number | 1730127812 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730127812 | NPI | - | NPPES |
| 62345FE | Other | MN | WRC BCBS # |
| 109516 | Other | MN | WRC UCARE # |
| 10344 | Medicaid | ND | |
| 00-01587 | Other | MN | WRC MEDICA # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 44 (Minnesota) | Primary |
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