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NPI 1982737359

NPI 1982737359 : OCHILTREE COUNTY HOSPITAL DISTRICT : PERRYTON, TX

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General NPI Number Information
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    NPI Number           |    1982737359
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    Entity Type          |    Organization 
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    Legal Business Name  |    OCHILTREE COUNTY HOSPITAL DISTRICT 
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Dates
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    Enumeration Date     |    03/14/2007
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    Last Update Date     |    10/27/2022
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Provider Practice Location Address
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    Address Line         |    3101 GARRETT DR 
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    City                 |    PERRYTON
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    State                |    TX
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    Zip                  |    79070-5323
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    Country              |    US
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    Telephone            |    806-435-3606
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    Fax                  |    806-435-2813
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Provider Business Mailing Address
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    Address Line         |    3101 GARRETT DR 
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    City                 |    PERRYTON
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    State                |    TX
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    Zip                  |    79070-5323
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    Country              |    US
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    Telephone            |    806-435-3606
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    Fax                  |    806-435-2813
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Authorized Official
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    Title or Position    |    INTERIM CEO
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    Name                 |    MRS. KELLY PAIGE JUDICE 
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    Credential           |    
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    Telephone            |    806-435-3606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR1300X
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    Taxonomy Name        |    Rural Health Clinic/Center
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    License Number       |    000098
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    License Number State |    TX
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