Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Critical Access |
282NC0060X | A0[7] | Critical Access Hospital | |
Medicare Defined Swing Bed Unit |
275N00000X | A0[7] | Hospital-Swing Bed Approved |
| NPI # | 1982779641 |
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| LBN Legal business name | JENNIE M MELHAM MEMORIAL MEDICAL CENTER INC | ||||||||
| Authorized official | KYLE KELLUM - (CEO AND PRESIDENT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | Yes | ||||||||
| Enumeration date | 11/21/2006 | ||||||||
| Last updated | 07/31/2023 - About 3 years ago | ||||||||
| Identifiers |
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