| NPI | 1962808733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK THORN Executive Director Finance 636-528-3329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access |
| Additional Taxonomies | 101Y00000X Counselor |
| 207L00000X Anesthesiology | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2020-10-06 |