| NPI | 1437279676 |
|---|---|
| Doing Business As | PROVIDENT HOSPITAL FFS |
| Entity Type | Organization |
| Authorized Contact | WALENA VALENCIA CFO 312-572-1202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: IL 0004549) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |