| Northside Medical Center, Plc | |
|
465 Eastvold Ave Ortonville MN 56278-1107 | |
| (320) 839-6157 | |
| (320) 839-3851 |
| Full Name | Northside Medical Center, Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 465 Eastvold Ave, Ortonville, Minnesota |
| Authorized Official Name and Position | Liz M Sorenson (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 3208396157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northside Medical Center, Plc 465 Eastvold Ave Ortonville MN 56278-1107 Ph: (320) 839-6157 | Northside Medical Center, Plc 465 Eastvold Ave Ortonville MN 56278-1107 Ph: (320) 839-6157 |
| NPI Number | 1265401681 |
|---|---|
| Provider Enumeration Date | 03/16/2006 |
| Last Update Date | 12/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265401681 | NPI | - | NPPES |
| 106639 | Other | MN | UCARE OF MINNESOTA |
| 794447100 | Medicaid | MN | |
| 01011119 | Other | MN | PREFERRED ONE |
| 05647NO | Other | MN | BCBS OF MN |
| CJ3171 | Other | MN | RAILROAD MEDICARE |
Ortonville Area Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Trojan Dr, Ortonville, MN 56278 Phone: 320-839-6157 | |
Ortonville Area Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 450 Eastvold Ave, Ortonville, MN 56278 Phone: 320-839-2502 Fax: 320-839-4105 |