Organization Name: | GRAHAM HOSPITAL ASSOCIATION |
NPI Number: | 1154518454 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT G SENNEFF (PRESIDENT/CEO) |
Mailing Address: | 114 S 4th St Cuba |
State: | IL US |
Postal Code: | 614275062 |
Phone Number: | 3096470201 |
Fax Number: | 3096478613 |
NPI Enumeration Date: | 10/01/2007 |
NPI Last Update Date: | 05/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |