MEDICARE: GENERAL HOSPITAL

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	261QC0050X	Critical Access Hospital Clinic/Center
2	282NC0060X	Critical Access Hospital	000258	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	105375100	OTHER	TX	FIRST CARE PROVIDER NUMBE
3	HH0144	OTHER	TX	BLUE CROSS PROVIDER #
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	122917	OTHER	TX	SUPERIOR PROVIDER NUMBER

General Provider Information

NPI Number	:	1083619712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENERAL HOSPITAL

Provider Business Mailing Address
First Line	:	PO BOX 665
Second Line	:
City	:	IRAAN
State	:	TX
Zip	:	79744-0665
Country	:	US
Telephone Number	:	432-639-2575
Fax Number	:	432-639-6292

Provider Business Practice Location Address
First Line	:	600 HWY 349 NORTH
Second Line	:
City	:	IRAAN
State	:	TX
Zip	:	79744-0665
Country	:	US
Telephone Number	:	432-639-2575
Fax Number	:	432-639-6292

Authorized Official
Title or Position	:	ACTING CEO
Name	:	MR. WILLIAM NALL
Credential	:
Telephone Number	:	432-639-2575

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	10/10/2024

Similar Medicare Providers

1508822552 — GENERAL HOSPITAL
Practice Location Address:

600 HWY 349 NORTH
IRAAN, TX
79744-0665

Practice Phone: 432-639-2575
Practice Fax: 432-639-6292

1881742179 — GENERAL HOSPITAL
Practice Location Address:

600 HWY 349 NORTH
IRAAN, TX
79744-0665

Practice Phone: 432-639-3438
Practice Fax: 432-639-6253

1437276821 — GENERAL HOSPITAL
Practice Location Address:

600 HWY 349 NORTH
IRAAN, TX
79744-0665

Practice Phone: 432-639-2575
Practice Fax: 432-639-6292

1174001242 — GENERAL HOSPITAL
Practice Location Address:

600 HWY 349 N
IRAAN, TX
79744-0665

Practice Phone: 432-639-2575
Practice Fax: 432-639-6292

1659363414 — MS. LAURA E. HANSEN L.P.C.
Practice Location Address:

600 TX- 349
IRAAN, TX
79744

Practice Phone: 432-639-2575
Practice Fax: 432-639-6292

1679556211 — CITY OF IRAAN
Practice Location Address:

509 E 6TH ST.
IRAAN, TX
79744

Practice Phone: 432-639-2952
Practice Fax: 432-639-2966

Directions to “GENERAL HOSPITAL ” Practice Location

Language	Start Address	Practice Location

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