Individual
ALBERT S HAMMOND III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 240-2205
(320) 229-5174
Mailing address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 240-2205
(320) 229-5174
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
40946
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085518900
MEDICAL ASSISTANCE
—
01
—
1017113
PREFERRED ONE
—
01
—
110167916
RR MEDICARE
—
01
—
122981
U CARE
—
01
—
2114137
FIRST HEALTH PLAN
—
01
—
2900213
MEDICA HEALTH PLANS
—
01
—
507R1HA
BLUE CROSS BLUE SHIELD
—
01
—
50Q94HA
BLUE CROSS BLUE SHIELD
—
01
—
786245
ARAZ GROUP AMERICAS PPO
—
01
—
CU0204
RR MEDICARE
—
01
—
HP26179
HEALTH PARTNERS
—
Enumeration date
10/28/2005
Last updated
11/28/2011
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