Provider Demographics
NPI:1548511900
Name:MMH
Entity type:Organization
Organization Name:MMH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CCO
Authorized Official - Prefix:DR
Authorized Official - First Name:BK
Authorized Official - Middle Name:
Authorized Official - Last Name:AB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:011-685-0484
Mailing Address - Street 1:ADDIS ABABA
Mailing Address - Street 2:
Mailing Address - City:ADDIS ABABA
Mailing Address - State:AMHARA
Mailing Address - Zip Code:131018
Mailing Address - Country:ET
Mailing Address - Phone:011-685-0484
Mailing Address - Fax:
Practice Address - Street 1:ADDIS ABABA
Practice Address - Street 2:
Practice Address - City:ADDIS ABABA
Practice Address - State:AMHARA
Practice Address - Zip Code:131018
Practice Address - Country:ET
Practice Address - Phone:011-685-0484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-26
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ282NR1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural