| NPI | 1700132404 |
|---|---|
| Doing Business As | BLACKWELL REGIONAL HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-11-27 |