| NPI | 1821637828 |
|---|---|
| Doing Business As | PARK RIVER FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | DARLA M HANSON Supervisor 701-352-1620 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2020-07-09 |