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NPI Code Detail

MEDICARE: PREFERRED HOSPITAL LEASING HEMPHILL, INC

MEDICARE: PREFERRED HOSPITAL LEASING HEMPHILL, INC
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
1261QR1300XRural Health Clinic/CenterTX

General Provider Information

NPI Number : 1912173030
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREFERRED HOSPITAL LEASING HEMPHILL, INC
Provider Business Mailing Address
First Line : 120 W MACARTHUR ST
Second Line : SUITE 121
City : SHAWNEE
State : OK
Zip : 74804-2007
Country : US
Telephone Number : 405-878-0202
Fax Number : 405-273-6007
Provider Business Practice Location Address
First Line : 2421 WORTH ST
Second Line :
City : HEMPHILL
State : TX
Zip : 75948-7215
Country : US
Telephone Number : 409-787-3300
Fax Number : 409-787-1010
Authorized Official
Title or Position : PRESIDENT
Name : DONALD A FREEMAN
Credential :
Telephone Number : 405-878-0202
Provider Enumeration Date : 05/08/2008
Last Update Date : 12/23/2021

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Directions to “PREFERRED HOSPITAL LEASING HEMPHILL, INC ” Practice Location

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