NPI | 1730407586 |
---|---|
Doing Business As | CENTRACARE HEALTH - MELROSE CLINIC |
Entity Type | Organization |
Authorized Contact | MICHAEL A. BLAIR Sr. Vice President And CFO 320-255-5665 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2010-05-04 |
Last Update Date | 2019-10-10 |