NPI | 1770532426 |
---|---|
Doing Business As | CENTRA CARE FAMILY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL A. BLAIR Sr. Vice President And CFO 320-255-5665 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: MN 331506) |
Enumeration Date | 2006-05-09 |
Last Update Date | 2019-10-10 |