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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