| NPI | 1417009978 |
|---|---|
| Doing Business As | COPPER BASIN MED CTR SWING BED |
| Entity Type | Organization |
| Authorized Contact | DANIEL C JOHNSON CEO 423-496-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: TN 0000000094) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2017-05-19 |