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General NPI Number Information
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NPI Number | 1174982540
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Entity Type | Organization
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Legal Business Name | ROLLING PLAINS MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 02/15/2016
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | 201 E ARIZONA AVE
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City | SWEETWATER
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State | TX
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Zip | 79556-7119
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Country | US
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Telephone | 325-235-8641
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 690
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City | SWEETWATER
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State | TX
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Zip | 79556-0690
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Country | US
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Telephone | 325-235-8641
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Fax |
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Authorized Official
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Title or Position | VP BUSINESS SERVICES
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Name | JULIE HALL
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Credential |
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Telephone | 325-235-1701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 000471
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License Number State | TX
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