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NPI Code Detail

MEDICARE: NRH MEDICAL CENTER LLC

MEDICARE: NRH MEDICAL CENTER LLC
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
1261QE0002XEmergency Care Clinic/Center160123TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1434148OTHERTXJCAHO

General Provider Information

NPI Number : 1851719272
Entity Type Code : Organization
Provider Name (Legal Business Name) : NRH MEDICAL CENTER LLC
Provider Business Mailing Address
First Line : PO BOX 840795
Second Line :
City : DALLAS
State : TX
Zip : 75284-0795
Country : US
Telephone Number : 972-899-6650
Fax Number : 972-899-5954
Provider Business Practice Location Address
First Line : 6035 PRECINCT LINE RD
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-5410
Country : US
Telephone Number : 972-899-6650
Fax Number : 972-899-5954
Authorized Official
Title or Position : CFO
Name : TIM FIELDING
Credential :
Telephone Number : 972-899-6650
Provider Enumeration Date : 04/02/2014
Last Update Date : 09/10/2014

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