Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Critical Access |
282NC0060X | A0[7] | Critical Access Hospital | |
General Acute Care Hospital |
282N00000X | A0[7] | Hospital-General | |
Medicare Defined Swing Bed Unit |
275N00000X | A0[7] | Hospital-Swing Bed Approved | |
Nursing Facility/Intermediate Care Facility |
313M00000X | A3[10] | Other Nursing Facility | |
Skilled Nursing Facility |
314000000X | A1[8] | Skilled Nursing Facility |
| NPI # | 1427054360 |
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| LBN Legal business name | PAUL OLIVER MEMORIAL HOSPITAL | ||||||||||||||||||||||||
| Authorized official | PETER MARINOFF - (PRESIDENT/CEO SOUTH REIGON) | ||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||
| Enumeration date | 06/24/2005 | ||||||||||||||||||||||||
| Last updated | 04/02/2024 - About 2 years ago | ||||||||||||||||||||||||
| Identifiers |
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