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NPI Code Detail

MEDICARE: PARKER COUNTY HOSPITAL DISTRICT

MEDICARE: PARKER COUNTY HOSPITAL DISTRICT
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
1314000000XSkilled Nursing FacilityTX

General Provider Information

NPI Number : 1366975856
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARKER COUNTY HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 1130 PECAN DR
Second Line :
City : WEATHERFORD
State : TX
Zip : 76086-5774
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7100 MATLOCK RD
Second Line :
City : ARLINGTON
State : TX
Zip : 76002-3402
Country : US
Telephone Number : 817-466-2511
Fax Number :
Authorized Official
Title or Position : CEO
Name : RANDY BACUS
Credential :
Telephone Number : 817-341-2520
Provider Enumeration Date : 04/11/2017
Last Update Date : 03/31/2019

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Directions to “PARKER COUNTY HOSPITAL DISTRICT ” Practice Location

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