Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural |
282NR1301X | |||
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI Number | 1679561088 |
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| LBN Legal business name | ST. MARYS REGIONAL HEALTH CENTER | ||||||||
| Authorized official | ALAN HURLEY - (COO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | Yes | ||||||||
| Enumeration date | 10/10/2005 | ||||||||
| Last updated | 03/01/2024 - About 2 years ago | ||||||||
| Identifiers |
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