NPI | 1013937705 |
---|---|
Entity Type | Organization |
Authorized Contact | JANA WYATT Chief Executive Officer 334-493-9111 |
Organization Subpart ? | No |
Primary Taxonomy | 282NR1301X General Acute Care Hospital, Rural (Licence: AL 11789) |
Additional Taxonomies | 261QL0400X Clinic/Center, Lithotripsy |
273R00000X Psychiatric Unit | |
275N00000X Medicare Defined Swing Bed Unit | |
Enumeration Date | 2006-07-19 |
Last Update Date | 2019-12-24 |