NPI | 1790740884 |
---|---|
Entity Type | Organization |
Authorized Contact | JAYSON P PULLMAN CEO 712-551-3103 |
Organization Subpart ? | No |
Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit |
Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access (Licence: IA 840126H) |
Enumeration Date | 2006-04-20 |
Last Update Date | 2022-11-29 |