Healthcare Provider Details

I. General information

NPI: 1528626694
Provider Name (Legal Business Name): BOSQUE COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2019
Last Update Date: 08/10/2022
Certification Date: 08/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 POSEY AVE
CLIFTON TX
76634-1200
US

IV. Provider business mailing address

PO BOX 549
CLIFTON TX
76634-0549
US

V. Phone/Fax

Practice location:
  • Phone: 254-675-4101
  • Fax: 254-675-6260
Mailing address:
  • Phone: 254-675-4101
  • Fax: 254-675-6260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ADAM WILLMANN
Title or Position: PRESIDENT/CEO
Credential:
Phone: 254-675-8322