| Family Practice Medical Center, Pa | |
|
502 2nd St Sw Suite 1 Willmar MN 56201-3365 | |
| (320) 235-7232 | |
| Not Available |
| Full Name | Family Practice Medical Center, Pa |
|---|---|
| Speciality | Clinic/center |
| Location | 502 2nd St Sw, Willmar, Minnesota |
| Authorized Official Name and Position | Anthony Amon (CEO) |
| Authorized Official Contact | 3202357232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Medical Center, Pa 502 2nd St Sw Suite 1 Willmar MN 56201-3365 Ph: (320) 235-7232 | Family Practice Medical Center, Pa 502 2nd St Sw Suite 1 Willmar MN 56201-3365 Ph: (320) 235-7232 |
| NPI Number | 1366487795 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 05/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366487795 | NPI | - | NPPES |
| 45215FA | Other | MN | BLUE CROSS BLUE SHIELD |
| 427510100 | Medicaid | MN | |
| 106640 | Other | MN | U CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Centracare Clinic Southwest Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 | |
West Central Solutions, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 414 Becker Ave Sw Ste 1a, Willmar, MN 56201 Phone: 612-814-7840 | |
Community Health Service Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1804 Trott Ave Sw, Willmar, MN 56201 Phone: 320-214-7286 Fax: 320-214-7223 | |
Gillette Children's Healthcare Willmar Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1303 1st St S Ste 1, Willmar, MN 56201 Phone: 651-634-1938 | |
Carris Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 | |
Pearle Vision Willmar Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2404 1st St S, Willmar, MN 56201 Phone: 320-235-1235 Fax: 320-235-9241 |