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General NPI Number Information
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NPI Number | 1205837770
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Entity Type | Organization
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Legal Business Name | NORTH RUNNELS COUNTY HOSPITAL
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 7821 STATE HIGHWAY 153
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City | WINTERS
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State | TX
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Zip | 79567-7345
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Country | US
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Telephone | 325-754-4553
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Fax | 325-754-5097
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Provider Business Mailing Address
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Address Line | 7821 STATE HIGHWAY 153 P.O. BOX 185
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City | WINTERS
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State | TX
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Zip | 79567-7345
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Country | US
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Telephone | 325-754-4553
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Fax | 325-754-5097
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Authorized Official
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Title or Position | CEO
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Name | TRACE GEORGE
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Credential |
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Telephone | 325-754-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 003174
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 000151
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 000151
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License Number State | TX
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