Healthcare Provider Details

I. General information

NPI: 1770236762
Provider Name (Legal Business Name): SOUTH LIMESTONE HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2022
Last Update Date: 01/31/2022
Certification Date: 01/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 S OAK ST
VAN TX
75790-3516
US

IV. Provider business mailing address

169 S OAK ST
VAN TX
75790-3516
US

V. Phone/Fax

Practice location:
  • Phone: 903-963-8641
  • Fax: 903-963-5413
Mailing address:
  • Phone: 903-963-8641
  • Fax: 903-963-5413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LARRY N. PRICE
Title or Position: CEO
Credential:
Phone: 254-729-3281