| NPI | 1376698522 |
|---|---|
| Doing Business As | LAKE DISTRICT HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANTLE Credentialing Specialist 435-299-8228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: OR 140896) |
| Additional Taxonomies | 261QC0050X Clinic/Center, Critical Access Hospital (Licence: OR 140896) |
| 314000000X Skilled Nursing Facility (Licence: OR 1836773096) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2024-09-24 |