| Sanford Wheaton Clinic | |
|
401 12th St N Wheaton MN 56296-1070 | |
| (320) 563-8971 | |
| Not Available |
| Full Name | Sanford Wheaton Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 401 12th St N, Wheaton, Minnesota |
| Authorized Official Name and Position | Tony Lee Morrison (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Contact | 6053288380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford Wheaton Clinic Po Box 2168 Fargo ND 58107-2168 Ph: (701) 234-2119 | Sanford Wheaton Clinic 401 12th St N Wheaton MN 56296-1070 Ph: (320) 563-8971 |
| NPI Number | 1245524669 |
|---|---|
| Provider Enumeration Date | 06/02/2011 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 8022206663 |
|---|---|
| Medicare Enrollment ID | O20180222001076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245524669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Wheaton Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 12th St N, Wheaton, MN 56296 Phone: 320-563-8295 Fax: 320-563-8014 | |
Sanford Wheaton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 12th St N, Wheaton, MN 56296 Phone: 320-563-8971 | |
Wheaton Community Hospital & Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 12th St N, Wheaton, MN 56296 Phone: 320-563-8971 |