Fergus Falls Medical Group, P.a., NPI 1730127812
Family Medicine Physician in Fergus Falls, MN, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1730127812 |
| NPI Entity Type | Organization |
| Provider Name |
Fergus Falls Medical Group, P.a.
Other Name |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 2001 W Lincoln Ave, Suite 56, Fergus Falls, MN, US |
| Provider Mailing Address | 615 S Mill St, Fergus Falls, MN, US, 565372756 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Jim Wilkus |
| Official Position | CEO |
| Phone | 218-739-5281 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Family Medicine Physician |
| Classification | |
| Group | |
| License No. | 44 |
| License State | MN |
| Description | Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 62345FE | MN | WRC BCBS # | 01 |
| 109516 | MN | WRC UCARE # | 01 |
| 10344 | ND | MEDICAID | 05 |
| 00-01587 | MN | WRC MEDICA # | 01 |
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