NPI | 1275565491 |
---|---|
Doing Business As | TRI-LAKES MEDICAL CENTER ER |
Entity Type | Organization |
Authorized Contact | ROBERT R HICKS CEO 870-285-3182 |
Organization Subpart ? | No |
Primary Taxonomy | 171W00000X Contractor (Licence: AR 82) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2010-01-22 |