| Fergus Falls Medical Group, P.a. | |
|
204 5th Street E Herman MN 56248-0304 | |
| (320) 677-2220 | |
| Not Available |
| Full Name | Fergus Falls Medical Group, P.a. |
|---|---|
| Speciality | Clinic/center |
| Location | 204 5th Street E, Herman, Minnesota |
| Authorized Official Name and Position | Jim Wilkus (CEO) |
| Authorized Official Contact | 2187392221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fergus Falls Medical Group, P.a. 615 S Mill St Fergus Falls MN 56537-2756 Ph: (218) 739-2221 | Fergus Falls Medical Group, P.a. 204 5th Street E Herman MN 56248-0304 Ph: (320) 677-2220 |
| NPI Number | 1982649216 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 08/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982649216 | NPI | - | NPPES |
| 109516 | Other | MN | HC UCARE # |
| 00-01587 | Other | MN | HC MEDICA # |
| 10344 | Medicaid | ND | |
| 62345FE | Other | MN | HC BCBS # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 44 (Minnesota) | Primary |
Coteau Des Prairies Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 Fifth Street East, Herman, MN 56248 Phone: 320-677-2220 | |
Prairie Ridge Hospital And Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 5th St E, Herman, MN 56248 Phone: 320-677-2220 |