Organization
NORTH COUNTRY MEDICAL CLINIC
Active
Organization
NORTH COUNTRY MEDICAL CLINIC
Active
Other names
Northern Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN TREPANIER (CLINIC MANAGER)
(218) 751-4144
Entity
Organization
Contact information
Practice address
619 5TH ST NW, BEMIDJI, MN 56601-2914
(218) 751-4144
(218) 751-3545
Mailing address
PO BOX 3157, BEMIDJI, MN 56619-3157
(218) 751-4144
(218) 751-3545
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36304
MN HEALTHPARTNERS
MN
01
—
83355NO
MN BLUECROSS BLUESHIELD
MN
01
—
CC7546
RAILROAD MEDICARE
—
Enumeration date
05/22/2006
Last updated
08/22/2020
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