| NPI | 1528158532 |
|---|---|
| Doing Business As | BOLIVAR MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | KATHY TEAGUE Vice President, Corporate Secretary 629-253-5121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2024-03-11 |