NPI | 1538808290 |
---|---|
Doing Business As | BIG SOUTH FORK MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | HAL W LEFTWICH CEO 423-286-5307 |
Organization Subpart ? | No |
Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit |
Enumeration Date | 2022-06-01 |
Last Update Date | 2022-06-01 |