Organization Name: | MOTHER FRANCES HOSPITAL |
NPI Number: | 1639296213 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TINA TILLMAN (CVO&MSO DIRECTOR) |
Mailing Address: | 3203 S Main St Lindale |
State: | TX US |
Postal Code: | 757717727 |
Phone Number: | 9038820991 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0404X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Cardiac Facilities |
Taxonomy Definition: |