Headwaters Health | |
111 2nd St Ne Fosston MN 56542-1301 | |
(218) 435-1111 | |
Not Available |
Full Name | Headwaters Health |
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Speciality | Family Medicine |
Location | 111 2nd St Ne, Fosston, Minnesota |
Authorized Official Name and Position | Cheryl White (MD) |
Authorized Official Contact | 2184351111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Headwaters Health 111 2nd St Ne Fosston MN 56542-1301 Ph: (218) 435-1111 | Headwaters Health 111 2nd St Ne Fosston MN 56542-1301 Ph: (218) 435-1111 |
NPI Number | 1821976903 |
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Provider Enumeration Date | 08/26/2025 |
Last Update Date | 08/26/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821976903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Dakota Clinic, Ltd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Sather Dr, Fosston, MN 56542 Phone: 218-435-1212 Fax: 218-435-1302 |