| NPI | 1235201112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE A BENNETT CEO 870-265-5351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR AR3934) |
| Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access (Licence: AR AR4314) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |