Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) | |
Emergency |
163WE0003X |
| NPI Number | 1487186250 |
||||
| Entity | Organization | ||||
| Organization subpart 1 | Not specified | ||||
| Enumeration date | 03/31/2017 | ||||
| Last updated | 03/31/2017 - About 9 years ago | ||||
| Identifiers |
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