Sam P Rice, MD
Individual provider Active NPI Family Medicine Physician · Ely, MN
NPI 1295785574 · NPPES record last updated May 28, 2015
Key facts
- NPI
- 1295785574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 39198 (MN)
- Practice address
- 328 W Conan St
Ely, MN 55731-1145 - Phone
- (651) 232-7348
- Fax
- (651) 232-6665
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170926000397 | MN | Order and Referring Only - Family Practice |
9436292653 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 39198 | MN | Yes |
Addresses
Primary practice location
328 W Conan St
Ely, MN 55731-1145
Mailing address
445 E Harvey St
Ely, MN 55731-1901
Phone (651) 303-7998
Other providers in Ely, MN
- Ol-US Ely, LLC
- Jacob Meyer Osell
- Michael Warren Pettinelli
- Phelps Chiropractic P.a.
- Lavern A Phelps Jr.
- Roth Chiropractic Clinic LTD
- Lars Lyle Roth
- Robert L Savereide
- Joseph Michael Schwinghamer
- Thomas Gerald Schwinghamer
All providers in Ely, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.