Organization Name: | BISBEE HOSPITAL ASSOCIATION |
NPI Number: | 1225438104 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES DICKSON (CEO) |
Mailing Address: | 10524 E Highway 92 Hereford |
State: | AZ US |
Postal Code: | 856158371 |
Phone Number: | 5203660300 |
Fax Number: | 5204328018 |
NPI Enumeration Date: | 08/28/2014 |
NPI Last Update Date: | 08/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | H0098 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |