| NPI | 1932172293 |
|---|---|
| Doing Business As | NORTHEAST REGIONAL MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | PAULA M LALOR Director/Delegated Official 629-215-3953 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: MO 462-4) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2021-04-08 |