NPI | 1891453411 |
---|---|
Doing Business As | ESSENTIA HEALTH 45TH STREET CLINIC |
Entity Type | Organization |
Authorized Contact | ALAN HURLEY COO 701-364-7667 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2021-12-01 |
Last Update Date | 2024-03-01 |