| NPI | 1851317317 |
|---|---|
| Doing Business As | HAZELTON CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROBERT BLACK CEO 701-254-4511 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2021-01-08 |