| NPI | 1932254265 |
|---|---|
| Doing Business As | FORT LOGAN HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL JACKSON President 606-365-4771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital Critical Access |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2012-07-18 |