Sawtooth Mountain Clinic, Inc.
LBN: Sawtooth Mountain Clinic, Inc.
Sawtooth Mountain Clinic, Inc. is an health care organization with primary practice located at 513 5Th Ave W , Grand Marais MN 55604-3017. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Sawtooth Mountain Clinic, Inc. can be contacted via phone (218) 387-2330, or through Stoddard, Jeff via phone (218) 877-8263.
Contact Information
Primary practice address
513 5Th Ave W
Grand Marais MN 55604-3017
Phone: (218) 387-2330
Fax: (218) 387-1278
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 22021 | Minnesota |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1306832894 |
|---|---|
| LBN Legal business name | Sawtooth Mountain Clinic, Inc. |
| DBA Doing business as | |
| Authorized official | Stoddard, Jeff |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Nov 17th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306832894 | NPPES |
| Minnesota | Other | 241806 | MEDICARE/OSCAR CERTIFICATION |
| Minnesota | MEDICAID | 744708600 | MEDICARE/OSCAR CERTIFICATION |
| Minnesota | MEDICAID | 844318100 | MEDICARE/OSCAR CERTIFICATION |
| Minnesota | MEDICAID | 873397000 | MEDICARE/OSCAR CERTIFICATION |
| Minnesota | MEDICAID | 536253900 | MEDICARE/OSCAR CERTIFICATION |
| Minnesota | MEDICAID | 639097800 | MEDICARE/OSCAR CERTIFICATION |
| Minnesota | Other | BC69144CO | MEDICARE/OSCAR CERTIFICATION |
| Minnesota | Other | 4F029TE | MEDICARE/OSCAR CERTIFICATION |
| Minnesota | MEDICAID | 785090500 | MEDICARE/OSCAR CERTIFICATION |
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