| NPI | 1063592434 |
|---|---|
| Doing Business As | ST JOSEPHS COMMUNITY HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | YOLANDA O'REILLY Billing Mgr 612-204-8387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2016-01-25 |