| 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 |