Gateway Family Health Clinic, Ltd.
Clinic/Center, Rural Health in Sandstone, MN. Organization (NPI-2).
NPI number1790772259
StatusActive
Last updated in NPPESMay 13, 2025
Details
- NPI
- 1790772259
- Entity type
- Organization (NPI-2)
- Legal business name
- Gateway Family Health Clinic, Ltd.
- Organization subpart
- No
- Enumeration date
- Sep 30, 2005
- Certification date
- May 13, 2025
- Last updated
- May 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | – | Yes |
| 106H00000X | Marriage & Family Therapist | – | – | |
| 111N00000X | Chiropractor | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 208000000X | Pediatrics | – | – | |
| 208D00000X | General Practice | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – | |
| 367500000X | Nurse Anesthetist, Certified Registered | – | – |
Practice location
707 Lundorff Dr Ste 1Sandstone, MN 55072-5099
Phone 320-245-2250 · Fax 320-245-2555
Mailing address
4570 Cty Hwy 61Moose Lake, MN 55767-9401
Phone 218-485-4491 · Fax 218-485-4724
Authorized official
Eric P. Nielsen
Administrator
2184854491
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