| NPI | 1124062419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE ROCHE CEO 8128-863-5881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: IN 07-005087-1) |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 275N00000X Medicare Defined Swing Bed Unit | |
| 282NC0060X General Acute Care Hospital, Critical Access (Licence: IN 0050871) | |
| 3416L0300X Ambulance, Land Transport | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2009-07-22 |