| NPI | 1528066875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG VAL DAVIDSON Administrator 438-438-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: UT 2004-hosp-167) |
| Additional Taxonomies | 275N00000X Medicare Defined Swing Bed Unit (Licence: UT 2006-HOSP-167) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2017-05-18 |