Gateway Family Health Clinic, Ltd. is a primary clinic (Family Medicine) in Moose Lake, Minnesota. The current practice location for Gateway Family Health Clinic, Ltd. is 4570 Cty Hwy 61, Moose Lake, Minnesota. For appointments, you can reach them via phone at
(218) 485-4491. The mailing address for Gateway Family Health Clinic, Ltd. is 4570 Cty Hwy 61, Moose Lake, Minnesota and phone number is (218) 485-4491.
Gateway Family Health Clinic, Ltd. is licensed to practice in Minnesota (license number 20268) and its
NPI number is 1356344451. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(218) 485-4491.
Primary Care Clinic Profile
| Full Name | Gateway Family Health Clinic, Ltd. |
|---|
| Speciality | Family Medicine |
|---|
| Location | 4570 Cty Hwy 61, Moose Lake, Minnesota |
|---|
| Authorized Official Name and Position | Eric Nielsen (ADMINISTRATOR) |
|---|
| Authorized Official Contact | 2184854491 |
|---|
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
|---|
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Gateway Family Health Clinic, Ltd.
4570 Cty Hwy 61
Moose Lake
MN 55767-9401
Ph: (218) 485-4491 | Gateway Family Health Clinic, Ltd.
4570 Cty Hwy 61
Moose Lake
MN 55767-9401
Ph: (218) 485-4491 |
NPI Details:
| NPI Number | 1356344451 |
|---|
| Provider Enumeration Date | 05/23/2005 |
|---|
| Last Update Date | 10/16/2015 |
|---|
Medical Identifiers
Medical identifiers for Gateway Family Health Clinic, Ltd. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356344451 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 20268 (Minnesota) | Primary |
| 207Q00000X | Family Medicine | 36731 (Minnesota) | Secondary |
| 207Q00000X | Family Medicine | 36725 (Minnesota) | Secondary |
| 207Q00000X | Family Medicine | 41745 (Minnesota) | Secondary |
| 207Q00000X | Family Medicine | 47303 (Minnesota) | Secondary |
| 207Q00000X | Family Medicine | 33016 (Minnesota) | Secondary |
| 207Q00000X | Family Medicine | 34715 (Minnesota) | Secondary |
| 207Q00000X | Family Medicine | 46671 (Minnesota) | Secondary |
| 207Q00000X | Family Medicine | 54207 (Minnesota) | Secondary |
| 207R00000X | Internal Medicine | 43634 (Minnesota) | Secondary |
| 208000000X | Pediatrics | 43634 (Minnesota) | Secondary |
| 363A00000X | Physician Assistant | 11706 (Minnesota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R 147424-0 (Minnesota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R 137363-9 (Minnesota) | Secondary |
| 364S00000X | Clinical Nurse Specialist | R 108935-0 (Minnesota) | Secondary |
Reviews and Comments