MEDICARE: GRAHAM REGIONAL MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital		TX

General Provider Information

NPI Number	:	1366576241
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRAHAM REGIONAL MEDICAL CENTER

Provider Business Mailing Address
First Line	:	PO BOX 1390
Second Line	:
City	:	GRAHAM
State	:	TX
Zip	:	76450-1390
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	820 MONTGOMERY RD
Second Line	:
City	:	GRAHAM
State	:	TX
Zip	:	76450-4200
Country	:	US
Telephone Number	:	940-549-3400
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	BONNIE BLEVINS
Credential	:
Telephone Number	:	940-549-3400

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	08/22/2020

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