NPI | 1003096488 |
---|---|
Doing Business As | TRACE REGIONAL HOSPITAL |
Entity Type | Organization |
Authorized Contact | SHEILA BROCKMAN CEO 662-456-3700 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MS 12-296) |
Enumeration Date | 2007-11-14 |
Last Update Date | 2024-01-18 |