Westridge Clinic

LBN: Fergus Falls Medical Group, P.A.
Westridge Clinic is an health care organization with primary practice located at 2001 W Lincoln Ave Suite 56, Fergus Falls MN 56537-1010. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Fergus Falls Medical Group, P.A. can be contacted via phone (218) 739-5281, or through Wilkus, Jim via phone (218) 739-5281.

Contact Information

Primary practice address
2001 W Lincoln Ave Suite 56 Fergus Falls MN 56537-1010
Phone: (218) 739-5281
Fax: (218) 739-5283
Website:
Map and Directions
Authorized official contact:
Name: Wilkus, Jim
Phone: (218) 739-5281

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44 Minnesota

Profile Details

NPI number 1730127812
LBN Legal business name Fergus Falls Medical Group, P.A.
DBA Doing business as Westridge Clinic
Authorized official Wilkus, Jim
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2006
Last updated Aug 22nd, 2020 - about 4 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 1730127812 NPPES
Minnesota Other 62345FE WRC BCBS #
Minnesota Other 109516 WRC BCBS #
Minnesota MEDICAID 10344 WRC BCBS #
Minnesota Other 00-01587 WRC BCBS #

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