| NPI | 1659490241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAWSON C.E.O. 662-289-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC0050X Clinic/Center, Critical Access Hospital (Licence: 11-008) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MS 11-008) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2018-06-21 |