Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI # | 1841342011 |
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| LBN Legal business name | ST. JOHN'S LUTHERAN HOSPITAL, INC | ||||||||||||
| Authorized official | BARBARA DUMONT - (VP COMMUNITY SERVICES) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | Yes | ||||||||||||
| Enumeration date | 01/17/2007 | ||||||||||||
| Last updated | 03/16/2012 - About 14 years ago | ||||||||||||
| Identifiers |
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