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General NPI Number Information
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NPI Number | 1548269590
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Entity Type | Organization
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Legal Business Name | CHILLICOTHE HOSPITAL
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 14928 US HWY 287 S
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City | CHILLICOTHEE
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State | TX
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Zip | 79225
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Country | US
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Telephone | 940-852-5131
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Fax | 940-852-5252
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Provider Business Mailing Address
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Address Line | PO BOX 370 BOX 370
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City | CHILLICOTHEE
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State | TX
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Zip | 79225-0370
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Country | US
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Telephone | 940-852-5131
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Fax | 940-852-5252
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Authorized Official
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Title or Position | CEO
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Name | KARLA J WATERS
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Credential |
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Telephone | 940-852-5131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 451326
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 00D13V
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License Number State | TX
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