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General NPI Number Information
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NPI Number | 1184631673
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Entity Type | Organization
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Legal Business Name | MITCHELL COUNTY HOSPITAL DISTRICT
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 997 WEST INTERSTATE 20
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City | COLORADO CITY
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State | TX
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Zip | 79512-2685
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Country | US
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Telephone | 325-728-3431
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Fax | 325-728-8974
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Provider Business Mailing Address
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Address Line | 997 WEST INTERSTATE 20
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City | COLORADO CITY
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State | TX
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Zip | 79512-2685
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Country | US
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Telephone | 325-728-3431
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Fax | 325-728-8974
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Authorized Official
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Title or Position | CEO
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Name | MS. SUZANNE MICHELLE GAFFORD
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Credential |
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Telephone | 325-728-3431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 75
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License Number State | TX
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