Healthcare Provider Details
I. General information
NPI: 1679398648
Provider Name (Legal Business Name): SOUTH LIMESTONE HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/15/2024
Last Update Date: 11/15/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
609 JOHNSON DR.
MCGREGOR TX
76657
US
IV. Provider business mailing address
609 JOHNSON DR.
MCGREGOR TX
76657
US
V. Phone/Fax
- Phone: 254-729-3281
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LARRY
N.
PRICE
Title or Position: CEO
Credential:
Phone: 254-729-3281