| NPI | 1093753782 |
|---|---|
| Former Legal Business Name | FREMONT COMMUNITY HEALTH SERVICES, INC |
| Entity Type | Organization |
| Authorized Contact | STEVE J KNUTSON Executive Director 612-287-2428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2023-06-29 |