| NPI | 1376896621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE SMITH Him Manager 605-721-4907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: SD 10582) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SD 10582) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2015-08-13 |