| NPI | 1467005561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINE POYTHRESS CEO 478-982-4221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital Critical Access |
| Additional Taxonomies | 261QC0050X Clinic/Center Critical Access Hospital |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2020-12-18 |