MEDICARE: CAHRMC

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	282NC0060X	Critical Access Hospital	000560	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	00202N	OTHER		MEDICARE GROUP PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	45Z312	OTHER	TX	SWING BED

General Provider Information

NPI Number	:	1205164928
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAHRMC

Provider Business Mailing Address
First Line	:	600 S AUSTIN RD
Second Line	:
City	:	EAGLE LAKE
State	:	TX
Zip	:	77434-3202
Country	:	US
Telephone Number	:	979-234-5571
Fax Number	:	979-234-5571

Provider Business Practice Location Address
First Line	:	600 S AUSTIN RD
Second Line	:
City	:	EAGLE LAKE
State	:	TX
Zip	:	77434-3202
Country	:	US
Telephone Number	:	979-234-5571
Fax Number	:	979-234-5571

Authorized Official
Title or Position	:	PRESIDENT CEO
Name	:	MR. CHARLES RICHARD SLATON
Credential	:
Telephone Number	:	979-234-5571

Provider Enumeration Date	:	11/19/2009
Last Update Date	:	10/07/2025

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Directions to “CAHRMC ” Practice Location

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