| NPI | 1720468200 |
|---|---|
| Doing Business As | MOUNTAIN STATES REHABILITATION AT IPMC |
| Entity Type | Organization |
| Authorized Contact | GREGORY LEE WILGOCKI Corp Director Reimbursement 423-431-5794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: TN 134) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2017-12-11 |