Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Critical Access |
282NC0060X | A0[7] | Critical Access Hospital | |
Emergency Medicine |
207P00000X | 93 | Physician/Emergency Medicine |
| NPI # | 1285634006 |
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| LBN Legal business name | FREDONIA REGIONAL HOSPITAL | ||||||||||||||||||||||||||||||||
| Authorized official | TRACY ROW - (BUSINESS OFFICE MANAGER) | ||||||||||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||||||||||
| Enumeration date | 07/22/2005 | ||||||||||||||||||||||||||||||||
| Last updated | 03/10/2021 - About 5 years ago | ||||||||||||||||||||||||||||||||
| Identifiers |
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