| NPI | 1023061496 |
|---|---|
| Doing Business As | CRESTWOOD MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | PAULA M LALOR Director 629-215-3953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: AL H4501) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| 261QL0400X Clinic/Center, Lithotripsy (Licence: AL H4501) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2023-05-30 |