NPI | 1144565797 |
---|---|
Doing Business As | BH SATELLITE CLINIC-CARTHAGE |
Entity Type | Organization |
Authorized Contact | NANCY DRAPER Acting Ubo Manager 315-772-1755 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
Enumeration Date | 2012-12-10 |
Last Update Date | 2015-03-26 |