| St Mary's Regional Health Center | |
|
212 Aspen Ave Ne Menahga MN 56464-3289 | |
| (218) 564-4131 | |
| (218) 564-5287 |
| Full Name | St Mary's Regional Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 212 Aspen Ave Ne, Menahga, Minnesota |
| Authorized Official Name and Position | Alan James Hurley (COO) |
| Authorized Official Contact | 7013647667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Mary's Regional Health Center 1027 Washington Ave Detroit Lakes MN 56501-3409 Ph: (218) 847-5611 | St Mary's Regional Health Center 212 Aspen Ave Ne Menahga MN 56464-3289 Ph: (218) 564-4131 |
| NPI Number | 1467798322 |
|---|---|
| Provider Enumeration Date | 12/21/2012 |
| Last Update Date | 03/01/2024 |
| Medicare PECOS PAC ID | 2062326820 |
|---|---|
| Medicare Enrollment ID | O20151007000243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467798322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |