Sanford Bemidji Blackduck Clinic | |
81 1st Street Nw Blackduck MN 56630 | |
(218) 835-4222 | |
(218) 835-5837 |
Full Name | Sanford Bemidji Blackduck Clinic |
---|---|
Speciality | Family Medicine |
Location | 81 1st Street Nw, Blackduck, Minnesota |
Authorized Official Name and Position | Martha K Leclerc (VP) |
Authorized Official Contact | 7012346248 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sanford Bemidji Blackduck Clinic 720 4th St N Po Box 2010 Fargo ND 58122-0605 Ph: (218) 835-4222 | Sanford Bemidji Blackduck Clinic 81 1st Street Nw Blackduck MN 56630 Ph: (218) 835-4222 |
NPI Number | 1831130921 |
---|---|
Provider Enumeration Date | 06/09/2006 |
Last Update Date | 11/27/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831130921 | NPI | - | NPPES |
939721300 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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