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General NPI Number Information
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NPI Number | 1104025618
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Entity Type | Organization
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Legal Business Name | BALLINGER MEMORIAL HOSPITAL DISTRICT
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 01/19/2023
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Provider Practice Location Address
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Address Line | 2001 N 6TH ST
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City | BALLINGER
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State | TX
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Zip | 76821-2500
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Country | US
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Telephone | 325-365-5766
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Fax | 325-365-5449
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Provider Business Mailing Address
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Address Line | 2001 N 6TH ST
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City | BALLINGER
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State | TX
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Zip | 76821-2500
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Country | US
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Telephone | 325-365-5766
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Fax | 325-365-5449
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Authorized Official
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Title or Position | DIRECTOR, CORPORATE AFFAIRS
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Name | BRENDA WIMSATT
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Credential |
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Telephone | 615-550-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 118303
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License Number State | TX
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