| City Of Sleepy Eye | |
|
400 4th Avenue Nw Sleepy Eye MN 56085-0323 | |
| (507) 794-3691 | |
| (507) 794-5950 |
| Full Name | City Of Sleepy Eye |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 4th Avenue Nw, Sleepy Eye, Minnesota |
| Authorized Official Name and Position | Kevin Robert Sellheim (CEO/ADMINISTRATOR) |
| Authorized Official Contact | 5077948440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| City Of Sleepy Eye 400 4th Ave Nw Sleepy Eye MN 56085-1109 Ph: (507) 795-3691 | City Of Sleepy Eye 400 4th Avenue Nw Sleepy Eye MN 56085-0323 Ph: (507) 794-3691 |
| NPI Number | 1215906680 |
|---|---|
| Provider Enumeration Date | 03/16/2006 |
| Last Update Date | 09/25/2019 |
| Medicare PECOS PAC ID | 0840102794 |
|---|---|
| Medicare Enrollment ID | O20040127000731 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215906680 | NPI | - | NPPES |
| 0186394 | Other | MEDICA | |
| 487308400 | Medicaid | MN | |
| CJ9359 | Other | MEDICARE RAILROAD | |
| 01013532 | Other | PREFERRED ONE | |
| 400031 | Other | MN | UCARE RHC PHYSICIAN FEES |
| 106628 | Other | UCARE SLEEPY EYE CLINIC | |
| 112501 | Other | UCARE MORGAN CLINIC | |
| 308014900 | Medicaid | MN | |
| 7S90SL | Other | MN | BCBS-RHC |
| 43202SL | Other | MN | BCBS PROF FEES & MORGAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Minnesota) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (Minnesota) | Primary |
| Provider Name | Susan Ahlness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720057193 PECOS PAC ID: 8820991052 Enrollment ID: I20040127000857 |
| Provider Name | Timothy A Klassen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003973157 PECOS PAC ID: 6002840931 Enrollment ID: I20050921000097 |
| Provider Name | Harmandeep K Dhaliwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083810907 PECOS PAC ID: 9133209497 Enrollment ID: I20071228000159 |
| Provider Name | Venkata K Murthy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497724892 PECOS PAC ID: 6204963192 Enrollment ID: I20100426000068 |
| Provider Name | John J Pelzel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124319025 PECOS PAC ID: 1557519790 Enrollment ID: I20120913000483 |
| Provider Name | Adam Gene Armbruster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033370077 PECOS PAC ID: 7911185988 Enrollment ID: I20121113000414 |
| Provider Name | Karlyn Leigh Armbruster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194953034 PECOS PAC ID: 1658541859 Enrollment ID: I20121113000429 |
| Provider Name | Timothy K Joyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447696687 PECOS PAC ID: 0042450918 Enrollment ID: I20130717000670 |
| Provider Name | Jennifer L Hillestad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407234982 PECOS PAC ID: 9133430762 Enrollment ID: I20150623001302 |
| Provider Name | Sarah Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043785199 PECOS PAC ID: 2668726456 Enrollment ID: I20181114001061 |
Twin Wings Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 1/2 Main St E, Sleepy Eye, MN 56085 Phone: 347-461-8204 |