NPI | 1811934763 |
---|---|
Doing Business As | CENTRAL CLINIC |
Entity Type | Organization |
Authorized Contact | STEVE J KNUTSON Executive Director 612-588-9411 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 208D00000X General Practice |
Enumeration Date | 2006-06-01 |
Last Update Date | 2023-06-29 |