| NPI | 1063726743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC LOHN CEO 218-249-5475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: MN 119713) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: MN 119713) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2020-12-02 |