Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI # | 1790372027 |
| LBN Legal business name | SAINT THOMAS HICKMAN HOSPITAL |
| Authorized official | LISA DAVIS - (CFO) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 12/21/2020 |
| Last updated | 12/21/2020 - About 5 years ago |
| Identifiers | n/a |
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