Organization Name: | MT. GRANT GENERAL HOSPITAL |
NPI Number: | 1447452487 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREGORY J SCHUMANN (BUS OFF MGR) |
Mailing Address: | 1st And A St Hawthorne |
State: | NV US |
Postal Code: | 894151510 |
Phone Number: | 7759452461 |
Fax Number: | 7759452359 |
NPI Enumeration Date: | 06/01/2007 |
NPI Last Update Date: | 02/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 651HOS-10 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |