Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI # | 1770600066 |
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| LBN Legal business name | VAUGHAN REGIONAL MEDICAL CENTER LLC | ||||
| Authorized official | KATHY TEAGUE - (ASSISTANT VICE PRESIDENT, SECRETARY) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 03/23/2007 | ||||
| Last updated | 03/19/2021 - About 5 years ago | ||||
| Identifiers |
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