Organization
UNITED CLINICS OF FARIBAULT COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMY J TVEDTEN (CLINIC ADMINISTRATOR)
(507) 526-7388
Entity
Organization
Contact information
Practice address
435 S GROVE ST STE 1, BLUE EARTH, MN 56013-2605
(507) 526-7388
Mailing address
435 S GROVE ST STE 1, BLUE EARTH, MN 56013-2605
(507) 526-7388
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1475
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000105
MEDICA
—
01
—
114000
UCARE
—
01
—
42Q09UN
BCBS
—
01
—
54886
HEALTH PARTNERS
—
Enumeration date
10/04/2006
Last updated
08/22/2020
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