| Williams/integracare Clinic | |
|
100 South 2nd Street Sartell MN 56377 | |
| (320) 251-2600 | |
| (320) 251-4763 |
| Full Name | Williams/integracare Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 100 South 2nd Street, Sartell, Minnesota |
| Authorized Official Name and Position | Mark Randy Halstrom (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3202512600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Williams/integracare Clinic 100 South 2nd Street Sartell MN 56377 Ph: (320) 251-2600 | Williams/integracare Clinic 100 South 2nd Street Sartell MN 56377 Ph: (320) 251-2600 |
| NPI Number | 1982919395 |
|---|---|
| Provider Enumeration Date | 08/10/2010 |
| Last Update Date | 01/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982919395 | NPI | - | NPPES |
| 079858400 | Medicaid | MN | |
| 1219767 | Other | MN | ARAZ |
| 31T18IN | Other | MN | CCS |
| 1770646937 | Other | MN | HUMANA |
| 169318P539 | Other | MN | UCARE |
| 1770646937 | Other | MN | TRICARE |
| 1770646937 | Other | MN | AETNA |
| 1770646937 | Other | MN | UNITED HEALTH CARE |
| 31T18IN | Other | MN | BCBS |
| CH3371 | Other | MN | RAILROAD MEDICARE |
| 1770646937 | Other | MN | PREFERRED ONE |
| 1770646937 | Other | MN | SELECT CARE |
| 1770646937 | Other | MN | MMSI |
| 9823046 | Other | MN | MEDICA |
| 1770646937 | Other | MN | UNICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1491 (Minnesota) | Primary |
| 225100000X | Physical Therapist | 1491 (Minnesota) | Secondary |
| 363L00000X | Nurse Practitioner | 1491 (Minnesota) | Secondary |
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Hall Counseling Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2330 Troop Dr Unit 101, Sartell, MN 56377 Phone: 320-302-6427 | |
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