Healthcare Provider Details
I. General information
NPI: 1922294867
Provider Name (Legal Business Name): MOTHER FRANCES HOSPITAL WINNSBORO
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/24/2007
Last Update Date: 03/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
719 W COKE RD STE 4
WINNSBORO TX
75494-3060
US
IV. Provider business mailing address
PO BOX 844665
DALLAS TX
75284-4665
US
V. Phone/Fax
- Phone: 903-342-3760
- Fax:
- Phone: 903-324-6400
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR1300X |
| Taxonomy | Rural Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMY
BETH
COLLINS
Title or Position: LEAD PROVIDER ENROMMENT
Credential: CPC
Phone: 903-510-1113