Central Lakes Medical Clinic Pa in Crosby - Family Medicine
Central Lakes Medical Clinic Pa - NPI 1881621761
Central Lakes Medical Clinic Pa is a Family Medicine in Crosby, Minnesota. Central Lakes Medical Clinic Pa practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Central Lakes Medical Clinic Pa is 1881621761. The last update date is 2008-10-09.
Central Lakes Medical Clinic Pa's current location address is 318 East Main Street, Crosby, Minnesota. You can contact this provider via phone number 2185468375 and fax number 2185464400. The mailing address for Central Lakes Medical Clinic Pa is 318 East Main Street, Crosby, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Lakes Medical Clinic Pa |
|---|---|
| Address | 318 East Main Street, Crosby, Minnesota |
| Phone Number | 2185468375 |
| Fax Number | 2185464400 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Peterson D John |
| Telephone Number | 2185462501 |
NPI Number Detail
| NPI Number | 1881621761 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2008-10-09 |
Provider Mailing Address Detail
| Address | 318 East Main Street |
|---|---|
| City | Crosby |
| State | Minnesota (MN) |
| Post Code | 564411691 |
| Phone Number | 2185468375 |
| Fax Number | 2185464400 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 1160 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 88208900 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Central Lakes Medical Clinic Pa by the Centers for Medicare & Medicaid Services?
The Central Lakes Medical Clinic Pa has been issued the NPI (National Provider Identifier) 1881621761, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Central Lakes Medical Clinic Pa is physically located?
The Central Lakes Medical Clinic Pa is physically situated at the following address: 318 East Main Street, Crosby, MN, 564411691.
What is the area of specialization for Central Lakes Medical Clinic Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Central Lakes Medical Clinic Pa is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1881621761 to Central Lakes Medical Clinic Pa?
The Centers for Medicare & Medicaid Services assigned the 1881621761 to Central Lakes Medical Clinic Pa on 2006-06-27.
As of what date were the details pertaining to Central Lakes Medical Clinic Pa last refreshed?
The information related to the Central Lakes Medical Clinic Pa, including its address, specialty, and other relevant details, was last updated on 2008-10-09.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY