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:
Map and Directions
Authorized official contact:
Name: Stoddard, Jeff
Phone: (218) 877-8263

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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