NPI | 1124272547 |
---|---|
Entity Type | Organization |
Authorized Contact | KARA RICHARDSON VP Managed Health 704-631-0450 |
Organization Subpart ? | No |
Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: IL 0000422) |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
Enumeration Date | 2008-11-12 |
Last Update Date | 2024-12-02 |