Fergus Falls Medical Group, P.A.

LBN: Fergus Falls Medical Group, P.A.
Fergus Falls Medical Group, P.A. is an health care organization with primary practice located at 615 S Mill St , Fergus Falls MN 56537-2756. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Fergus Falls Medical Group, P.A. can be contacted via phone (218) 739-2221, or through Peterson, John via phone (218) 739-2221.

Contact Information

Primary practice address
615 S Mill St Fergus Falls MN 56537-2756
Phone: (218) 739-2221
Fax: (218) 739-5501
Website:
Map and Directions
Authorized official contact:
Name: Peterson, John
Phone: (218) 739-2221

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 44 Minnesota

Profile Details

NPI number 1285676031
LBN Legal business name Fergus Falls Medical Group, P.A.
DBA Doing business as
Authorized official Peterson, John
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated Mar 26th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285676031 NPPES
Minnesota Other 00-01587 FFMG MEDICA #
Minnesota MEDICAID 533810700 FFMG MEDICA #
Minnesota Other 62345FE FFMG MEDICA #
Minnesota MEDICAID 10344 FFMG MEDICA #
Minnesota Other 109516 FFMG MEDICA #

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