| NPI | 1205327582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH GORANSON CFO 520-586-2261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access (Licence: AZ h096) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2022-06-08 |