Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
261QP2300X |
| NPI Number | 1306029053 |
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| LBN Legal business name | ELLSWORTH MUNICIPAL HOSPITAL | ||||||||||||||||
| Authorized official | MICHAEL WHITE - (CEO) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 12/17/2007 | ||||||||||||||||
| Last updated | 12/03/2020 - About 6 years ago | ||||||||||||||||
| Identifiers |
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