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NPI Code Detail

MEDICARE: MEXIA PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP

MEDICARE: MEXIA PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP
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
1273Y00000XRehabilitation Hospital Unit

General Provider Information

NPI Number : 1306892526
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEXIA PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP
Provider Business Mailing Address
First Line : 103 POWELL CT
Second Line : STE.200
City : BRENTWOOD
State : TN
Zip : 37027-5079
Country : US
Telephone Number : 615-372-8500
Fax Number : 615-372-8572
Provider Business Practice Location Address
First Line : 600 S BONHAM ST
Second Line :
City : MEXIA
State : TX
Zip : 76667-3603
Country : US
Telephone Number : 254-562-5332
Fax Number : 254-562-7532
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : WILLIAM M. GRACEY
Credential :
Telephone Number : 615-372-8500
Provider Enumeration Date : 05/26/2006
Last Update Date : 09/10/2008

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Directions to “MEXIA PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP ” Practice Location

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