Organization
WEST CENTRAL INTERNAL MEDICINE
Active
Organization
WEST CENTRAL INTERNAL MEDICINE
Active
Other names
Prairie Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN F. STOCK M.D. (OWNER/PRESIDENT)
(320) 589-4008
Entity
Organization
Contact information
Practice address
24 E 7TH ST, MORRIS, MN 56267-1312
(320) 589-4008
(320) 589-4227
Mailing address
24 E 7TH ST, PO BOX 410, MORRIS, MN 56267-1312
(320) 589-4008
(320) 589-4227
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
5706872
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0836930001
DMERC CLINIC #
MN
01
—
121703
UCARE CLINIC #
MN
01
—
30843
HEALTHPARTNERS CLINIC#
MN
01
—
3T172WE
BLUE CROSS CLINIC #
MN
01
—
CN5505
RAILROAD MEDICARE #
MN
Enumeration date
09/25/2006
Last updated
08/22/2020
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