| NPI | 1164264156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BECKIUS CFO 507-344-5507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-07-09 |