| NPI | 1396184578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWNETT L WILLIS Acting CEO 641-754-5145 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: IA 640007H) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: IA 640007H) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2017-04-05 |