| NPI | 1619341716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY A. SMITH VP Revenue Cycle 800-237-6977 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NY 7002053H) |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 7002053H) |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2018-12-20 |