| NPI | 1245274901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH VANDER KOLK President/CEO 667-234-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: MD 282N00000X) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 2086S0129X Surgery Vascular Surgery | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2016-02-25 |