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NPI Code Detail

MEDICARE: DALLAS COUNTY HOSPITAL DISTRICT

MEDICARE: DALLAS COUNTY 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
1314000000XSkilled Nursing Facility131927TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1281855101OTHERTXTPI - MCD CO B
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346550654
Entity Type Code : Organization
Provider Name (Legal Business Name) : DALLAS COUNTY HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 3310 W BRAKER LN UNIT 300-902
Second Line :
City : AUSTIN
State : TX
Zip : 78758-7853
Country : US
Telephone Number : 512-482-8242
Fax Number :
Provider Business Practice Location Address
First Line : 2450 BICKERS ST.
Second Line :
City : DALLAS
State : TX
Zip : 75212-1507
Country : US
Telephone Number : 214-879-0888
Fax Number : 214-879-1090
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : FREDERICK CERISE
Credential :
Telephone Number : 214-590-8006
Provider Enumeration Date : 10/20/2010
Last Update Date : 02/11/2020

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Directions to “DALLAS COUNTY HOSPITAL DISTRICT ” Practice Location

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