Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI # | 1730706656 |
| LBN Legal business name | ST MARYS REGIONAL HEALTH CENTER |
| Authorized official | ALAN HURLEY - (COO) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 06/26/2020 |
| Last updated | 03/01/2024 - About 2 years ago |
| Identifiers | n/a |
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