| NPI | 1992706303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA CROCKER Billing Manager 662-625-7176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: MS 11-211) |
| Additional Taxonomies | 275N00000X Medicare Defined Swing Bed Unit (Licence: MS 11-211) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2024-12-16 |