NPI | 1245278209 |
---|---|
Doing Business As | ESSENTIA HEALTH DULUTH CLINIC |
Entity Type | Organization |
Authorized Contact | KEVIN BOREN VP Of Finance 218-786-1009 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 152W00000X Optometrist |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
332B00000X Durable Medical Equipment & Medical Supplies | |
3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 261245) | |
Enumeration Date | 2006-06-03 |
Last Update Date | 2024-04-17 |