| Essentia Health Bagley Clinic | |
|
121 Central St W Bagley MN 56621-4393 | |
| (218) 694-6281 | |
| (218) 694-6283 |
| Full Name | Essentia Health Bagley Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 121 Central St W, Bagley, Minnesota |
| Authorized Official Name and Position | Kim Bodensteiner (CFO) |
| Authorized Official Contact | 2184357633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Essentia Health Bagley Clinic 121 Central St W Bagley MN 56621-4393 Ph: (218) 694-6281 | Essentia Health Bagley Clinic 121 Central St W Bagley MN 56621-4393 Ph: (218) 694-6281 |
| NPI Number | 1790861649 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 10/01/2021 |
| Medicare PECOS PAC ID | 3678542842 |
|---|---|
| Medicare Enrollment ID | O20111003000725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790861649 | NPI | - | NPPES |
| 971428600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Clearwater Health Services Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 4th St Nw, Bagley, MN 56621 Phone: 218-694-2384 Fax: 218-694-6687 | |
Sanford Bagley Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1656 Central St W, Bagley, MN 56621 Phone: 218-694-2384 Fax: 218-694-6687 |