Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Air Transport |
3416A0800X | 59 | Ambulance Service Provider |
| NPI # | 1841359478 |
| LBN Legal business name | ST. MARYS MEDICAL CENTER |
| Authorized official | SUSAN MCCLERNON - (CHIEF OPERATING OFFICER) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 12/08/2006 |
| Last updated | 12/19/2007 - About 18 years ago |
| Identifiers | n/a |
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ST. MARYS MEDICAL CENTER
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