| NPI | 1164578662 |
|---|---|
| Doing Business As | FORT LOGAN HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | MIKE JACKSON President 606-365-4771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: KY 600066) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2008-05-21 |