| NPI | 1144984766 |
|---|---|
| Doing Business As | UHD - FAIRMONT CLINIC |
| Entity Type | Organization |
| Authorized Contact | RICHARD M ASH CEO 507-526-7907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2021-11-08 |