| NPI | 1780043257 |
|---|---|
| Doing Business As | ESSENTIA HEALTH 52ND AVENUE CLINIC |
| Entity Type | Organization |
| Authorized Contact | ALAN J HURLEY COO 701-364-7667 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261Q00000X | |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2024-03-01 |