Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI Number | 1366452955 |
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| LBN Legal business name | GLENDIVE MEDICAL CENTER, INC | ||||||||
| Authorized official | WILLIAM ROBINSON - (VP OF FINANCIAL SERVICES) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 08/08/2006 | ||||||||
| Last updated | 03/04/2021 - About 5 years ago | ||||||||
| Identifiers |
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