| NPI | 1114937174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN SCOTT MATTES Associate Administrator 870-208-2145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: AR AR4063) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-09-17 |