| Sioux Valley Clinic Mountain Lake | |
|
308 8th St N Mountain Lake MN 56159-1568 | |
| (507) 427-3332 | |
| Not Available |
| Full Name | Sioux Valley Clinic Mountain Lake |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 308 8th St N, Mountain Lake, Minnesota |
| Authorized Official Name and Position | Steve W Goetsch (CFO) |
| Authorized Official Contact | 6053286940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sioux Valley Clinic Mountain Lake Po Box 5074 Sioux Falls SD 57117-5074 Ph: (605) 328-4540 | Sioux Valley Clinic Mountain Lake 308 8th St N Mountain Lake MN 56159-1568 Ph: (507) 427-3332 |
| NPI Number | 1215091145 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215091145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Sanford Clinic Mountain Lake Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 308 8th St N, Mountain Lake, MN 56159 Phone: 507-427-3332 Fax: 507-427-2493 |