| NPI | 1134241862 |
|---|---|
| Former Legal Business Name | GRANITE COUNTY MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JEFFREY L PRATER C E O 406-859-3271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282E00000X (Licence: MT 10814) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2011-09-21 |