| Sedra Medical Clinic Plc | |
|
213 Labree Ave N Suite #207 Thief River Falls MN 56701-2022 | |
| (218) 683-5137 | |
| (218) 683-5413 |
| Full Name | Sedra Medical Clinic Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 213 Labree Ave N, Thief River Falls, Minnesota |
| Authorized Official Name and Position | Hazem Sedra (PRESIDENT) |
| Authorized Official Contact | 2186835137 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sedra Medical Clinic Plc 213 Labree Ave N Suite #207 Thief River Falls MN 56701-2022 Ph: (218) 683-5137 | Sedra Medical Clinic Plc 213 Labree Ave N Suite #207 Thief River Falls MN 56701-2022 Ph: (218) 683-5137 |
| NPI Number | 1972840064 |
|---|---|
| Provider Enumeration Date | 01/09/2013 |
| Last Update Date | 01/09/2013 |
| Medicare PECOS PAC ID | 1951556554 |
|---|---|
| Medicare Enrollment ID | O20130305000625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972840064 | NPI | - | NPPES |
| 1669408753 | Other | MN | INDIVIDUAL NPI |
| 590610500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 47271 (Minnesota) | Primary |
| Provider Name | Hazem M Sedra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669408753 PECOS PAC ID: 3476544248 Enrollment ID: I20041202000994 |
Altru Health System Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1845 Highway 59 S Ste 800, Thief River Falls, MN 56701 Phone: 218-681-7280 | |
Hope Pediatrics Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 219 Brooks Avenue North, Thief River Falls, MN 56701 Phone: 218-681-4673 | |
Premise Health Of Tennessee Medical, P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Brooks Ave S, Thief River Falls, MN 56701 Phone: 615-468-3188 Fax: 218-681-7983 | |
Altra Care P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1140 Vanrooy Dr., Thief River Falls, MN 56701 Phone: 218-681-2225 Fax: 218-681-4655 | |
Riverview Healthcare Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1140 Vanrooy Dr, Thief River Falls, MN 56701 Phone: 218-416-5770 | |
Dakota Clinic, Ltd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1720 Highway 59 S, Thief River Falls, MN 56701 Phone: 218-681-4747 Fax: 218-683-2595 | |
Sanford Health Network North Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Labree Ave S, Thief River Falls, MN 56701 Phone: 218-683-4351 Fax: 218-681-5614 |