| Archdeacon Gilfillan Center | |
|
1741 15th Street Nw Bemidji MN 56619-0744 | |
| (218) 751-6553 | |
| (218) 751-1846 |
| Full Name | Archdeacon Gilfillan Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1741 15th Street Nw, Bemidji, Minnesota |
| Authorized Official Name and Position | Frank Vardeman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6128748823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Archdeacon Gilfillan Center Po Box 744 1741 15th Street Nw Bemidji MN 56619-0744 Ph: (218) 751-6553 | Archdeacon Gilfillan Center 1741 15th Street Nw Bemidji MN 56619-0744 Ph: (218) 751-6553 |
| NPI Number | 1508078502 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508078502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Minnesota) | Primary |
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