NPI | 1114019858 |
---|---|
Doing Business As | COMMUNITY-UNIVERSITY HEALTH CARE CENTER |
Entity Type | Organization |
Authorized Contact | COLLEEN MCDONALD-DIOUF CEO 612-301-0698 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: MN 855553200) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2017-05-09 |