| NPI | 1154591881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY CLYDE RACEY Resident 423-202-2680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: AZ 81901) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |