| NPI | 1003339789 |
|---|---|
| Doing Business As | CENTRACARE - COORDINATED CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL A BLAIR Sr VP & CFO 320-255-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2020-11-19 |