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General NPI Number Information
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NPI Number | 1306484050
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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 | 12/12/2019
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 125 MEDICAL PARK LN STE C
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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 | 936-291-3219
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Fax | 936-291-7206
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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 | 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 #2
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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 #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology 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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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