Healthcare Provider Details

I. General information

NPI: 1811993751
Provider Name (Legal Business Name): FALLS COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2005
Last Update Date: 06/02/2021
Certification Date: 06/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 COLEMAN ST
MARLIN TX
76661-2358
US

IV. Provider business mailing address

PO BOX 60
MARLIN TX
76661-0060
US

V. Phone/Fax

Practice location:
  • Phone: 254-803-3561
  • Fax: 254-883-6066
Mailing address:
  • Phone: 254-803-3561
  • Fax: 254-883-6066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number000527
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number000527TX
License Number StateTX

VIII. Authorized Official

Name: MRS. JESSICA FORD
Title or Position: INTERIM ADMINISTRATOR
Credential:
Phone: 254-803-3561