| NPI | 1962149419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CLARK VP 651-254-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2024-12-09 |