| Cornerstone Clinic , PSC | |
|
410 Downtown Plz Fairmont MN 56031-1714 | |
| (507) 848-8567 | |
| Not Available |
| Full Name | Cornerstone Clinic , PSC |
|---|---|
| Speciality | Clinic/Center |
| Location | 410 Downtown Plz, Fairmont, Minnesota |
| Authorized Official Name and Position | Samantha Farnum (CEO) |
| Authorized Official Contact | 5073992100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Clinic , PSC 778 245th Ave Fairmont MN 56031-4609 | Cornerstone Clinic , PSC 410 Downtown Plz Fairmont MN 56031-1714 Ph: (507) 848-8567 |
| NPI Number | 1801575725 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 04/03/2024 |
| Certification Date | 04/03/2024 |
| Medicare PECOS PAC ID | 6204288830 |
|---|---|
| Medicare Enrollment ID | O20240119001357 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801575725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Nathan M Reyelts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932183084 PECOS PAC ID: 4587625918 Enrollment ID: I20041020000147 |
| Provider Name | Rebekah J Boer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154631653 PECOS PAC ID: 0042493892 Enrollment ID: I20110331000781 |
| Provider Name | Samantha August Farnum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437518552 PECOS PAC ID: 2961708748 Enrollment ID: I20160303001305 |
| Provider Name | Lisa Marie Ertman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508573288 PECOS PAC ID: 5395114409 Enrollment ID: I20221213000785 |
| Provider Name | Denver Splinter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558075747 PECOS PAC ID: 8921471681 Enrollment ID: I20260209003147 |
Manna Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 S State St Ste 55, Fairmont, MN 56031 Phone: 507-238-4844 Fax: 507-235-5542 |
Uhd - Fairmont Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 E 1st St, Fairmont, MN 56031 Phone: 507-238-1287 Fax: 507-238-9070 |
United Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1950 Center Creek Dr, Fairmont, MN 56031 Phone: 507-238-1287 Fax: 507-238-9070 |
Mayo Clinic Health System-fairmont Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8100 |
Center for Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 717 S State St, Suite 800, Fairmont, MN 56031 Phone: 507-238-9533 Fax: 507-235-8561 |
Smart Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 322 S State St, 5 Lake Center Drive, Fairmont, MN 56031 Phone: 507-236-2880 |