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 | 2024-09-27 |