| NPI | 1134534456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY P COSTELLO VP/CFO 574-647-3549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-09-09 |