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 |