Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI # | 1508154048 |
| LBN Legal business name | SOUTHSIDE COMMUNITY HOSPITAL, INC. |
| Authorized official | DOUG DAVENPORT - (CFO) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 07/19/2011 |
| Last updated | 04/25/2025 - More than a year ago |
| Identifiers | n/a |
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