NPI | 1942290432 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD WILBUR GANNON Doctor 641-792-4385 |
Organization Subpart ? | No |
Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: IA 2001) |
Enumeration Date | 2005-10-25 |
Last Update Date | 2020-08-22 |