Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI # | 1639737042 |
| LBN Legal business name | FAIRVIEW HOSPITAL |
| Authorized official | DARLENE RODOWICZ - (CHIEF FINANCIAL OFFICER) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 05/31/2019 |
| Last updated | 02/12/2020 - About 6 years ago |
| Identifiers | n/a |
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FAIRVIEW HOSPITAL
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