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General NPI Number Information
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NPI Number | 1902840333
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Entity Type | Organization
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Legal Business Name | SHERMAN GRAYSON HOSPITAL LLC
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 06/21/2011
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Provider Practice Location Address
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Address Line | 1000 S FM 1417
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City | SHERMAN
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State | TX
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Zip | 75092-4865
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Country | US
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Telephone | 903-870-4611
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Fax | 903-891-2030
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Provider Business Mailing Address
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Address Line | 119 W HOUSTON ST
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City | SHERMAN
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State | TX
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Zip | 75090-5909
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Country | US
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Telephone | 903-891-7000
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Fax | 903-813-1479
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Authorized Official
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Title or Position | PRESIDENT & CHIEF EXECUTIVE OFFICER
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Name | MR. VANCE VERNON REYNOLDS
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Credential |
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Telephone | 903-870-4591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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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 | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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