NPI | 1124214630 |
---|---|
Doing Business As | AXIS MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | CRISPIN J SEMAKULA Board Chairman 612-823-2947 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 284300000X Special Hospital |
207W00000X Ophthalmology | |
Enumeration Date | 2007-09-18 |
Last Update Date | 2016-09-20 |