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Contact Information

FERGUS FALLS MEDICAL GROUP, P.A.
404 WEST BROADWAY
BROWNS VALLEY, MN56219
 Phone: 320-695-8526
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for FERGUS FALLS MEDICAL GROUP, P.A.

NPI Number 1750326070
LBN Legal business name FERGUS FALLS MEDICAL GROUP, P.A.
Authorized official JIM WILKUS - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/19/2006
Last updated 08/17/2018 - About 8 years ago
Identifiers
MN License # 44
ND Medicaid 10344
MN Other 62345FE BVC BCBS #
MN Other 00-01587 BVC MEDICA #
MN Other 109516 BVC UCARE #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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