Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI # | 1831441096 |
| LBN Legal business name | GUTTENBERG MUNICIPAL HOSPITAL |
| Authorized official | SUSAN STAGMAN - (CREDENTIALING SPECIALIST) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 10/11/2012 |
| Last updated | 10/24/2024 - More than a year ago |
| Identifiers | n/a |
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