| NPI | 1487728630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA BERQUIST Administrator 701-627-4840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: ND 1083625354) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |