| NPI | 1417940719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLLAND BOJO President/CEO 607-865-2162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access |
| Additional Taxonomies | 275N00000X Medicare Defined Swing Bed Unit |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2021-08-11 |