| NPI | 1780355610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARACELY LIZBETH QUINONEZ GALLARDO Manager 333-883-2088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital Critical Access |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2021-09-21 |