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NPI Code Detail

MEDICARE: MCCULLOCH COUNTY HOSPITAL DISTRICT

MEDICARE: MCCULLOCH 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 Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407252448
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCCULLOCH COUNTY HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 1405 W STOREY ST
Second Line :
City : SAN SABA
State : TX
Zip : 76877-6422
Country : US
Telephone Number : 325-372-5112
Fax Number : 325-372-5114
Provider Business Practice Location Address
First Line : 1405 W STOREY ST
Second Line :
City : SAN SABA
State : TX
Zip : 76877-6422
Country : US
Telephone Number : 325-372-5112
Fax Number : 325-372-5114
Authorized Official
Title or Position : CEO
Name : MR. TIMOTHY S JONES
Credential :
Telephone Number : 325-597-2901
Provider Enumeration Date : 11/18/2014
Last Update Date : 12/31/2014

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Directions to “MCCULLOCH COUNTY HOSPITAL DISTRICT ” Practice Location

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