| NPI | 1073765566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE FRANCES SIMMONS Nurse Practitioner 267-304-6890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: NY F430413-1) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2008-10-16 |