| NPI | 1215267232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA DOVER CROCKER Him Director 662-625-7176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access (Licence: MS 11211) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2024-02-01 |