Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI Number | 1437238771 |
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| LBN Legal business name | CLARENDON MEMORIAL HOSPITAL | ||||
| Authorized official | ELIZABETH ROGAN - (CREDENTIALING) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 11/06/2006 | ||||
| Last updated | 07/02/2008 - About 18 years ago | ||||
| Identifiers |
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