Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) |
| NPI Number | 1356458087 |
| LBN Legal business name | FLETCHER ALLEN HEALTH CARE |
| Authorized official | LISA SUSSDORFF - (NNP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/25/2006 |
| Last updated | 08/22/2020 - About 6 years ago |
| Identifiers | n/a |
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FLETCHER ALLEN HEALTH CARE
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