| NPI | 1952494353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE OETMAN Medical Staff Coordinator 269-639-2807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: MI 4301102383) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: IL 042007627) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2013-04-22 |