| NPI | 1568493971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE MANGANIELLO Bidpo Enrollment &Credentialing 671-754-8782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: MA 106994) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |