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NPI 1316290588

NPI 1316290588 : GUADALUPE COUNTY HOSPITAL BOARD : SEGUIN, TX

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General NPI Number Information
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    NPI Number           |    1316290588
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    Entity Type          |    Organization 
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    Legal Business Name  |    GUADALUPE COUNTY HOSPITAL BOARD 
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Dates
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    Enumeration Date     |    10/24/2012
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    Last Update Date     |    03/07/2025
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Provider Practice Location Address
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    Address Line         |    1215 ASHBY ST 
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    City                 |    SEGUIN
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    State                |    TX
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    Zip                  |    78155-5101
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    Country              |    US
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    Telephone            |    830-379-1606
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    Fax                  |    830-379-1688
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Provider Business Mailing Address
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    Address Line         |    1215 ASHBY ST 
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    City                 |    SEGUIN
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    State                |    TX
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    Zip                  |    78155-5101
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     KODY  GANN 
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    Credential           |    
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    Telephone            |    830-401-7100
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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       |    004181
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    License Number State |    TX
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