Sanford Clinic is a health care provider in Mountain Lake, MN. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||308 8th St N, Mountain Lake, MN 56159-1568, US|
|Practice Location Phone||507-427-3332|
|Practice Location Fax||507-427-2493|
|Legal Business Name||SANFORD CLINIC|
|Other Organization Name||SANFORD CLINIC MOUNTAIN LAKE|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Jun 30, 2005|
|Last Update Date ?||Dec 3, 2008|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||Rural Health|
|Provider Id||Issuer State||Issuer Type||Issuer|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Sanford Clinic's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Mr. Steve Goetsch|
|Authorized Official Title/Position||CFO|
|Authorized Official Phone Number||605-328-6940|