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NPI 1255925905

NPI 1255925905 : HUNTSVILLE COMMUNITY HOSPITAL, INC. : HUNTSVILLE, TX

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General NPI Number Information
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    NPI Number           |    1255925905
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    Entity Type          |    Organization 
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    Legal Business Name  |    HUNTSVILLE COMMUNITY HOSPITAL, INC. 
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Dates
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    Enumeration Date     |    02/23/2021
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    Last Update Date     |    10/08/2025
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Provider Practice Location Address
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    Address Line         |    125 MEDICAL PARK LN STE D 
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    City                 |    HUNTSVILLE
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    State                |    TX
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    Zip                  |    77340-4957
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    Country              |    US
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    Telephone            |    936-400-7221
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    Fax                  |    833-654-0625
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Provider Business Mailing Address
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    Address Line         |    PO BOX 4001 
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    City                 |    HUNTSVILLE
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    State                |    TX
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    Zip                  |    77342-4001
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    Country              |    US
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    Telephone            |    936-291-3411
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    Fax                  |    936-291-4394
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Authorized Official
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    Title or Position    |    CHIEF FINANCIAL OFFICER
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    Name                 |    MR. PAUL  HANSON 
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    Credential           |    
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    Telephone            |    936-291-4514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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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        |    207QS0010X
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    Taxonomy Name        |    Sports Medicine (Family Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    
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