| NPI | 1144096553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAF FAESKORN VP Revenue Cycle 229-259-4749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2025-07-16 |