Fergus Falls Medical Group, P.A. in Wheaton - Clinic/center
Fergus Falls Medical Group, P.A. - NPI 1619915543
Fergus Falls Medical Group, P.A. is a Clinic/center in Wheaton, Minnesota. Fergus Falls Medical Group, P.A. practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Fergus Falls Medical Group, P.A. is 1619915543. The last update date is 2018-08-17.
Fergus Falls Medical Group, P.A.'s current location address is 403 12th St N, Wheaton, Minnesota. You can contact this provider via phone number 3205638295 and fax number 3205638014. The mailing address for Fergus Falls Medical Group, P.A. is 403 12th St N, Wheaton, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fergus Falls Medical Group, P.A. |
|---|---|
| Address | 403 12th St N, Wheaton, Minnesota |
| Phone Number | 3205638295 |
| Fax Number | 3205638014 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Wilkus Jim |
| Telephone Number | 2187392221 |
NPI Number Detail
| NPI Number | 1619915543 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2018-08-17 |
Provider Mailing Address Detail
| Address | 403 12th St N |
|---|---|
| City | Wheaton |
| State | Minnesota (MN) |
| Post Code | 562961070 |
| Phone Number | 3205638295 |
| Fax Number | 3205638014 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 44 |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 109516 | MN | WC UCARE # | |
| 00-01587 | MN | WC MEDICA # | |
| 10344 | ND | -- | |
| 62345FE | MN | WC BCBS # |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Fergus Falls Medical Group, P.A. by the Centers for Medicare & Medicaid Services?
The Fergus Falls Medical Group, P.A. has been assigned the NPI (National Provider Identifier) 1619915543 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Fergus Falls Medical Group, P.A. is physically located?
The Fergus Falls Medical Group, P.A. is situated at the following address: 403 12Th St N, Wheaton, MN 562961070.
What is Fergus Falls Medical Group, P.A.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Fergus Falls Medical Group, P.A. is Clinic/center, and the taxonomy code that categorizes this field of expertise is 261Q00000X.
On what date was the 1619915543 assigned to Fergus Falls Medical Group, P.A.?
The Fergus Falls Medical Group, P.A. was issued its 1619915543 on 2006-06-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Fergus Falls Medical Group, P.A.'s information last updated?
The Fergus Falls Medical Group, P.A.'s information was last updated on 2018-08-17.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA