| NPI | 1538726393 |
|---|---|
| Doing Business As | DBA AXIS MEDICAL CENTER |
| Doing Business As | AXIS MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ZILLEHUMA EBRAHIM CEO 612-282-7492 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-09-16 |