| City Of Wheaton | |
|
401 12th St N Wheaton MN 56296-1070 | |
| (320) 563-8971 | |
| Not Available |
| Full Name | City Of Wheaton |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 401 12th St N, Wheaton, Minnesota |
| Authorized Official Name and Position | Joann Foltz (CEO) |
| Authorized Official Contact | 3205638226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| City Of Wheaton 401 12th St N Wheaton MN 56296-1070 Ph: (320) 563-8971 | City Of Wheaton 401 12th St N Wheaton MN 56296-1070 Ph: (320) 563-8971 |
| NPI Number | 1922287127 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 07/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922287127 | NPI | - | NPPES |
| 187968000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 243435 (Minnesota) | Primary |
Sanford Health Network North Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 12th St N, Wheaton, MN 56296 Phone: 320-563-8971 | |
Fergus Falls Medical Group, P.a. 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 Health Network North Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 12th St N, Wheaton, MN 56296 Phone: 320-563-8971 |