Organization
SEMCAC
Active
Other names
Semcac Family Planning Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE PECKOVER R.N., M.S.N. (HEALTH SERVICES DIRECTOR)
(507) 452-4307
Entity
Organization
Contact information
Practice address
76 W 3RD ST, WINONA, MN 55987-3431
(507) 452-4307
(507) 457-0564
Mailing address
PO BOX 549, 204 S. ELM ST, RUSHFORD, MN 55971-0549
(507) 864-7741
(507) 864-2440
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7D953SE
BCBSMN PROVIDER ID
MN
Enumeration date
03/27/2007
Last updated
08/22/2020
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