Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI Number | 1477192243 |
| LBN Legal business name | WEST PARK HOSPITAL DISTRICT |
| Authorized official | SHANNON SALTERS - (CREDENTIALING SPECIALIST) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 12/27/2019 |
| Last updated | 10/07/2025 - About 8 months ago |
| Identifiers | n/a |
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WEST PARK HOSPITAL DISTRICT
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