Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice |
| NPI # | 1750725586 |
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| LBN Legal business name | ST. MARY'S REGIONAL HEALTH CENTER | ||||
| Authorized official | ALAN HURLEY - (COO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 04/23/2013 | ||||
| Last updated | 03/01/2024 - About 2 years ago | ||||
| Identifiers |
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