| Wheaton Clinic | |
|
403 12th St N Wheaton MN 56296-1070 | |
| (320) 563-8295 | |
| (320) 563-8014 |
| Full Name | Wheaton Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 403 12th St N, Wheaton, Minnesota |
| Authorized Official Name and Position | Jim Wilkus (CEO) |
| Authorized Official Contact | 2187392221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wheaton Clinic 615 S Mill St Fergus Falls MN 56537-2756 Ph: (218) 739-2221 | Wheaton Clinic 403 12th St N Wheaton MN 56296-1070 Ph: (320) 563-8295 |
| NPI Number | 1619915543 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 08/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619915543 | NPI | - | NPPES |
| 109516 | Other | MN | WC UCARE # |
| 00-01587 | Other | MN | WC MEDICA # |
| 10344 | Medicaid | ND | |
| 62345FE | Other | MN | WC BCBS # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 44 (Minnesota) | Primary |
Sanford Wheaton Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 12th St N, Wheaton, MN 56296 Phone: 320-563-8971 | |
Sanford Wheaton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 12th St N, Wheaton, MN 56296 Phone: 320-563-8971 | |
Wheaton Community Hospital & Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 12th St N, Wheaton, MN 56296 Phone: 320-563-8971 |