| NPI | 1104814169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY SHOEMAKER Administrator 662-285-6235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital Critical Access |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2008-07-09 |