Home » Minnesota » 56159 » Sanford Clinic

Sanford Clinic

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.

physician-icon Basic Information

Practice Location 308 8th St N, Mountain Lake, MN 56159-1568, US
Practice Location Phone507-427-3332
Practice Location Fax507-427-2493
Legal Business NameSANFORD CLINIC
Other Organization NameSANFORD CLINIC MOUNTAIN LAKE
Other Organization Name TypeDoing Business As Name
NPI ?1568469039
Entity TypeOrganization
Enumeration Date ? Jun 30, 2005
Last Update Date ? Dec 3, 2008
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Sanford Clinic

SpecialtySpecializationLicenseLicense State
Clinic/CenterRural Health

legacy-id-icon Legacy Provider IDs of Sanford Clinic

Provider IdIssuer StateIssuer TypeIssuer
958132400MinnesotaMedicaid

official-icon Authorized Official of Sanford Clinic

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/PositionCFO
Authorized Official Phone Number605-328-6940