Organization Name: | SAMUEL SIMMONDS MEMORIAL HOSPITAL |
NPI Number: | 1225240310 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CONNIE JOHNSTON (CASE MANAGER) |
Mailing Address: | 1296 Agvik Street Barrow |
State: | AK US |
Postal Code: | 99723 |
Phone Number: | 9078524611 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NR1301X |
License Number: | 163W |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Rural |
Taxonomy Definition: |