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NPI 1821025990

NPI 1821025990 : SEMINOLE HOSPITAL DISTRICT OF GAINES COUNTY TEXAS : SEMINOLE, TX

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General NPI Number Information
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    NPI Number           |    1821025990
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    Entity Type          |    Organization 
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    Legal Business Name  |    SEMINOLE HOSPITAL DISTRICT OF GAINES COUNTY TEXAS 
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Dates
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    Enumeration Date     |    06/26/2006
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    Last Update Date     |    11/07/2025
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Provider Practice Location Address
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    Address Line         |    209 NW 8TH ST 
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    City                 |    SEMINOLE
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    State                |    TX
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    Zip                  |    79360-3447
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    Country              |    US
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    Telephone            |    432-758-5811
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    209 NW 8TH ST 
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    City                 |    SEMINOLE
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    State                |    TX
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    Zip                  |    79360-3447
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    Country              |    US
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    Telephone            |    432-758-5811
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    Fax                  |    
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Authorized Official
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    Title or Position    |    COO
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    Name                 |     MAEGEN  GARNER 
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    Credential           |    
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    Telephone            |    432-758-4814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine 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        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    219294
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    275N00000X
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    Taxonomy Name        |    Medicare Defined Swing Bed Hospital Unit
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    License Number       |    00113
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    License Number State |    TX
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Taxonomy #4
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    Taxonomy Code        |    261QE0002X
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    Taxonomy Name        |    Emergency Care Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    282NC0060X
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    Taxonomy Name        |    Critical Access Hospital
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    License Number       |    000113
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    License Number State |    TX
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