Organization
DREW MEMORIAL HOSPITAL, INC.
Active
Parent organization
DREW MEMORIAL HOSPITAL, INC.
Other names
Drew Anesthesia
Organization subpart
Yes
Provider details
NPI number
Legal business name
DREW MEMORIAL HOSPITAL, INC.
Authorized official
SHANNON CLARK (CFO)
(870) 367-2411
Entity
Organization
Contact information
Practice address
778 SCOGIN DR, MONTICELLO, AR 71655-5729
(870) 367-2411
(952) 442-3620
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
08/15/2012
Last updated
10/12/2012
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