| NPI | 1477928950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REAGEN ROBERTS Office Staff 800-349-4054 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 261QB0400X Clinic/Center, Birthing |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2022-05-20 |