| Rochester Family Medicine Clinic Pa | |
|
40 16th St Se Ste E Rochester MN 55904-7987 | |
| (507) 288-0124 | |
| (507) 288-5383 |
| Full Name | Rochester Family Medicine Clinic Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 40 16th St Se Ste E, Rochester, Minnesota |
| Authorized Official Name and Position | Tracy J Hoffman (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 5072880124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rochester Family Medicine Clinic Pa 40 16th St Se Ste E Rochester MN 55904-7987 Ph: (507) 288-0124 | Rochester Family Medicine Clinic Pa 40 16th St Se Ste E Rochester MN 55904-7987 Ph: (507) 288-0124 |
| NPI Number | 1538366224 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 10/03/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538366224 | NPI | - | NPPES |
| 421521400 | Medicaid | MN | |
| 2029345 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 017145 (Minnesota) | Primary |
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