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General NPI Number Information
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NPI Number | 1235100058
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Entity Type | Organization
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Legal Business Name | CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO 1
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 09/14/2024
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Provider Practice Location Address
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Address Line | 409 GREENE ST
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City | WEBSTER
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State | TX
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Zip | 77598-6701
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Country | US
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Telephone | 281-332-4738
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Fax | 281-332-5449
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Provider Business Mailing Address
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Address Line | 409 WEST GREENE ST
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City | WEBSTER
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State | TX
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Zip | 77598-6701
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Country | US
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Telephone | 281-332-4738
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Fax | 281-332-5449
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Authorized Official
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Title or Position | CEO
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Name | MS. ELIZABETH ANN NEWTON
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Credential |
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Telephone | 409-267-3143
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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 | 112588
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License Number State | TX
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