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General NPI Number Information
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NPI Number | 1619978004
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Entity Type | Organization
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Legal Business Name | NORTH RUNNELS COUNTY HOSPITAL
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 500 S MAIN ST
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City | WINTERS
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State | TX
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Zip | 79567-5824
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Country | US
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Telephone | 325-754-4141
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Fax | 325-754-4337
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Provider Business Mailing Address
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Address Line | PO BOX 185
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City | WINTERS
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State | TX
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Zip | 79567-0185
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Country | US
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Telephone | 325-754-4141
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Fax | 325-754-4337
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Authorized Official
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Title or Position | CEO
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Name | TRACE GEORGE
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Credential |
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Telephone | 325-754-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 003174
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License Number State | TX
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