| Open Door Health Center | |
|
309 Holly Ln Mankato MN 56001-5422 | |
| (507) 388-2120 | |
| (507) 388-3924 |
| Full Name | Open Door Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 309 Holly Ln, Mankato, Minnesota |
| Authorized Official Name and Position | Douglas L Jaeger (CEO) |
| Authorized Official Contact | 5073445500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Door Health Center 309 Holly Ln Mankato MN 56001-5422 Ph: (507) 388-2120 | Open Door Health Center 309 Holly Ln Mankato MN 56001-5422 Ph: (507) 388-2120 |
| NPI Number | 1891740908 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 04/04/2016 |
| Medicare PECOS PAC ID | 7012944085 |
|---|---|
| Medicare Enrollment ID | O20070717000563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891740908 | NPI | - | NPPES |
| 201094100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Blue Earth County Human Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 S 5th St, Mankato, MN 56001 Phone: 507-304-4319 Fax: 507-304-4387 | |
Functional Chiropractic Rehab, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1901 Madison Ave Ste 120, Mankato, MN 56001 Phone: 605-380-4364 | |
Gillette Children's Specialty Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1421 Premier Dr, Suite 100, Mankato, MN 56001 Phone: 507-207-2700 | |
Msu Student Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Maywood Ave, 21 Carkoski Commons, Mankato, MN 56001 Phone: 507-389-6276 | |
Saggau Chiropractic Clinic, Ltd. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 83 Navaho Ave, #26, Mankato, MN 56001 Phone: 507-625-9060 Fax: 507-625-2350 | |
Mayo Clinic Health System - Mankato Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 Fax: 507-389-4885 | |
Open Door Health Center - Mobile Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 Holly Ln, Mankato, MN 56001 Phone: 507-388-2120 Fax: 507-388-3924 |