| NPI | 1750306437 |
|---|---|
| Doing Business As | NICU |
| Entity Type | Organization |
| Authorized Contact | JAMA M PHILLIPS Director Physician Billing 731-512-1510 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access |
| 282NC2000X General Acute Care Hospital, Children | |
| 282NR1301X General Acute Care Hospital, Rural | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-05-16 |