| NPI | 1558514786 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SUMMER BELL GIBSON Intern/Internal Medicine 8017-075-5330 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 282N00000X General Acute Care Hospital | 
| Enumeration Date | 2008-10-31 | 
| Last Update Date | 2008-10-31 |