| NPI | 1710257860 |
|---|---|
| Other Name | OPEN DOOR HEALTH CENTER - MOBILE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS L JAEGER CEO 507-344-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2016-04-04 |