Organization Name: | ST. MARY'S REGIONAL MEDICAL CENTER |
NPI Number: | 1851563704 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICK WALLACE (CEO) |
Mailing Address: | 305 S 5th St Enid |
State: | OK US |
Postal Code: | 737015832 |
Phone Number: | 5802493622 |
Fax Number: | 5802493616 |
NPI Enumeration Date: | 04/01/2008 |
NPI Last Update Date: | 05/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |