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General NPI Number Information
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NPI Number | 1518943216
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Entity Type | Organization
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Legal Business Name | FARWELL HOSPITAL DISTRICT
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Dates
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Enumeration Date | 12/15/2005
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 305 5TH STREET
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City | FARWELL
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State | TX
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Zip | 79325
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Country | US
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Telephone | 806-481-9027
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Fax | 806-481-9503
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Provider Business Mailing Address
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Address Line | 305 5TH ST
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City | FARWELL
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State | TX
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Zip | 79325-5615
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Country | US
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Telephone | 806-481-9027
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Fax | 806-481-9503
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Authorized Official
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Title or Position | MANAGER
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Name | CASSIE MISTRETTA
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Credential |
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Telephone | 205-292-4859
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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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 | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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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 | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 111189
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License Number State | TX
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