Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI Number | 1669491262 |
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| LBN Legal business name | ST JOSEPH'S HOSPITAL AND HEALTH CENTER | ||||||||
| Authorized official | JOSEPH RUARK - (VP OF FINANCE) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | Yes | ||||||||
| Enumeration date | 07/18/2006 | ||||||||
| Last updated | 06/13/2025 - About 12 months ago | ||||||||
| Identifiers |
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