NPI | 1710048590 |
---|---|
Doing Business As | CENTRACARE - BECKER CLINIC |
Entity Type | Organization |
Authorized Contact | MICHAEL A BLAIR Sr VP & CFO 320-255-5665 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-12-13 |
Last Update Date | 2020-11-19 |