| NPI | 1174284699 |
|---|---|
| Other Name | FARMINGTON CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHRISTIE JANSEN Vice President Of Finance 651-602-7537 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-03-30 |