| NPI | 1023632973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRET HICKS CFO 520-324-1614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-06-05 |