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General NPI Number Information
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NPI Number | 1841497153
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Entity Type | Organization
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Legal Business Name | GPCH, LLC
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 100 MEDICAL DRIVE
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City | BORGER
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State | TX
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Zip | 79007-7579
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Country | US
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Telephone | 806-467-5702
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Fax | 806-467-5704
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Provider Business Mailing Address
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Address Line | 100 MEDICAL DRIVE
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City | BORGER
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State | TX
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Zip | 79007-7579
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Country | US
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Telephone | 806-467-5702
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Fax | 806-467-5704
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Authorized Official
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Title or Position | INTERIM CEO
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Name | DR. MELODY HENDERSON
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Credential |
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Telephone | 806-467-5700
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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 | 008574
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License Number State | TX
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