MEDICARE: HOPKINS MINOR EMERGENCY CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1033405428
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPKINS MINOR EMERGENCY CENTER LLC

Provider Business Mailing Address
First Line	:	106 HODGE STREET
Second Line	:
City	:	SULPHUR SPRINGS
State	:	TX
Zip	:	75482-4719
Country	:	US
Telephone Number	:	903-885-2911
Fax Number	:	903-335-8739

Provider Business Practice Location Address
First Line	:	106 HODGE STREET
Second Line	:
City	:	SULPHUR SPRINGS
State	:	TX
Zip	:	75482-4719
Country	:	US
Telephone Number	:	903-348-9542
Fax Number	:	903-335-8739

Authorized Official
Title or Position	:	OWNER
Name	:	CASSI W MCGAHEE
Credential	:
Telephone Number	:	903-517-1143

Provider Enumeration Date	:	06/23/2011
Last Update Date	:	02/23/2023

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