| NPI | 1881928323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY GOODMAN Credentialing Specialist 9720-747-3019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: MD C04038) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD T004038) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2012-02-22 |