MEDICARE: GAINESVILLE HOSPITAL DISTRICT

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	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1346542115
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GAINESVILLE HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	1900 HOSPITAL BLVD
Second Line	:
City	:	GAINESVILLE
State	:	TX
Zip	:	76240-2002
Country	:	US
Telephone Number	:	940-665-1751
Fax Number	:	940-612-8601

Provider Business Practice Location Address
First Line	:	801 N GRAND AVE
Second Line	:	SUITE 1
City	:	GAINESVILLE
State	:	TX
Zip	:	76240-3573
Country	:	US
Telephone Number	:	940-612-8750
Fax Number	:	940-665-3078

Authorized Official
Title or Position	:	CEO
Name	:	MR. RANDOLPH B BACUS
Credential	:
Telephone Number	:	940-612-8602

Provider Enumeration Date	:	11/29/2010
Last Update Date	:	12/17/2013

Similar Medicare Providers

1083456651 — KENDRA POLIZZO DNP, APRN, FNP-C
Practice Location Address:

801 N GRAND AVE
GAINESVILLE, TX
76240-3573

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1073578001 — DR. PATRICK K KWAN M. D.
Practice Location Address:

801 N GRAND AVE , SUITE 4
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1861766867 — GAINESVILLE HOSPITAL DISTRICT
Practice Location Address:

801 N GRAND AVE , SUITE 4
GAINESVILLE, TX
76240-3573

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1255702692 — MR. AUSTIN HUNTINGTON SIDES FNP
Practice Location Address:

801 N GRAND AVE
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1780117754 — TRACY WANG M.D.
Practice Location Address:

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76240-3573

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Directions to “GAINESVILLE HOSPITAL DISTRICT ” Practice Location

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