MEDICARE: COLEMAN COUNTY 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	282NC0060X	Critical Access Hospital	000049	TX

General Provider Information

NPI Number	:	1740263318
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLEMAN COUNTY MEDICAL CENTER

Provider Business Mailing Address
First Line	:	310 S PECOS ST
Second Line	:
City	:	COLEMAN
State	:	TX
Zip	:	76834-4159
Country	:	US
Telephone Number	:	325-625-2135
Fax Number	:	325-625-3203

Provider Business Practice Location Address
First Line	:	310 S PECOS ST
Second Line	:
City	:	COLEMAN
State	:	TX
Zip	:	76834-4159
Country	:	US
Telephone Number	:	325-625-2135
Fax Number	:	325-625-3203

Authorized Official
Title or Position	:	CEO
Name	:	MR. DOUG LANGLEY
Credential	:
Telephone Number	:	325-625-2135

Provider Enumeration Date	:	11/28/2005
Last Update Date	:	08/22/2020

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Directions to “COLEMAN COUNTY MEDICAL CENTER ” Practice Location

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