| NPI | 1043230923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE G MOORE Fiscal Services Director 662-326-8031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: MS 16-291) |
| Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access (Licence: MS 16291) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2010-05-18 |