Bois Forte Medical Clinic in Nett Lake - Health Service
Bois Forte Medical Clinic - NPI 1972666469
Bois Forte Medical Clinic is a Health Service in Nett Lake, Minnesota. Bois Forte Medical Clinic practices all healthcare services and medical treatments related to Health Service. The NPI Number for Bois Forte Medical Clinic is 1972666469. The last update date is 2018-05-16.
Bois Forte Medical Clinic's current location address is 5219 St John Dr, Nett Lake, Minnesota. You can contact this provider via phone number 2187573650 and fax number 2187570234. The mailing address for Bois Forte Medical Clinic is 5219 St John Dr, Nett Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bois Forte Medical Clinic |
|---|---|
| Address | 5219 St John Dr, Nett Lake, Minnesota |
| Phone Number | 2187573650 |
| Fax Number | 2187570234 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACIST |
|---|---|
| Authorized Official Name | Corradi Julie |
| Credentials | PHARMACIST |
| Telephone Number | 2187573650 |
NPI Number Detail
| NPI Number | 1972666469 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2018-05-16 |
Provider Mailing Address Detail
| Address | 5219 St John Dr |
|---|---|
| City | Nett Lake |
| State | Minnesota (MN) |
| Post Code | 557728111 |
| Phone Number | 2187573650 |
| Fax Number | 2187570234 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 261Qh0100X |
| Licence No | 261489-2 |
|
Definition: Provides general outpatient medical care by physicians and other providers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 63G35BO | MN | BCBS | |
| 104492 | MN | MEDICA | |
| 177515400 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Bois Forte Medical Clinic by the Centers for Medicare & Medicaid Services?
The Bois Forte Medical Clinic has been assigned the NPI (National Provider Identifier) 1972666469. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Bois Forte Medical Clinic?
The Bois Forte Medical Clinic is situated at 5219 St John Dr, in the city of Nett Lake, state of MN, with the zip code 557728111.
What is Bois Forte Medical Clinic's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bois Forte Medical Clinic's specialized field of practice is Health Service, and the corresponding taxonomy code that categorizes this area of specialization is 261Qh0100X.
When was the Bois Forte Medical Clinic's 1972666469 issued?
The Bois Forte Medical Clinic's 1972666469 was issued on 2006-12-18.
As of what date was the information regarding Bois Forte Medical Clinic, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bois Forte Medical Clinic, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-05-16.