Organization Name: | SAINT ALPHONSUS MEDICAL CENTER |
NPI Number: | 1326313305 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JERI VANVICKLE (HIM MANAGER) |
Mailing Address: | 3325 Pocahontas Rd Baker City |
State: | OR US |
Postal Code: | 978141464 |
Phone Number: | 5415238814 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2012 |
NPI Last Update Date: | 03/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 282NC0060X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |