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General NPI Number Information
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NPI Number | 1427334077
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Entity Type | Organization
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Legal Business Name | EL CAMPO MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 10/27/2011
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 305 SANDY CORNER RD
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City | EL CAMPO
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State | TX
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Zip | 77437-9535
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Country | US
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Telephone | 979-543-5510
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Fax |
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Provider Business Mailing Address
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Address Line | 303 SANDY CORNER RD
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City | EL CAMPO
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State | TX
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Zip | 77437-9535
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Country | US
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Telephone | 979-543-6251
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Fax | 979-543-8420
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Authorized Official
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Title or Position | CEO
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Name | BRETT KIRKHAM
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Credential |
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Telephone | 979-543-6251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease 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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease 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 | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 000426
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License Number State | TX
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