Healthcare Provider Details

I. General information

NPI: 1467878629
Provider Name (Legal Business Name): SOUTH LIMESTONE HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2014
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4011 WILLIAMS DR
GEORGETOWN TX
78628-2491
US

IV. Provider business mailing address

4011 WILLIAMS DR
GEORGETOWN TX
78628-2491
US

V. Phone/Fax

Practice location:
  • Phone: 512-868-2700
  • Fax:
Mailing address:
  • Phone: 512-868-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateTX

VIII. Authorized Official

Name: LARRY N. PRICE
Title or Position: CEO
Credential:
Phone: 512-888-1205