| NPI | 1588692487 |
|---|---|
| Doing Business As | PRIMARY HEALTH CARE-BERY ENGEBRETSEN CLINIC |
| Entity Type | Organization |
| Authorized Contact | KELLY HUNSTMAN Chief Executive Officer 515-248-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: IA NA) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2016-12-27 |