| NPI | 1891740908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L BECKIUS CFO 507-344-5507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2024-07-08 |