| NPI | 1376902932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD JIM VREDENBURGH Staff Nurse 573-268-2749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: MO 2001004428) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: IL 041.392442) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |