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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
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy
33336C0002XClinic Pharmacy14444TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22100602OTHERPK

General Provider Information

NPI Number : 1457478083
Entity Type Code : Organization
Provider Name (Legal Business Name) : DALLAS COUNTY HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 5200 HARRY HINES BLVD
Second Line : PHARMACY ADMINISTRATION
City : DALLAS
State : TX
Zip : 75235-7709
Country : US
Telephone Number : 214-590-8714
Fax Number : 469-419-3023
Provider Business Practice Location Address
First Line : 4600 SCYENE RD
Second Line :
City : DALLAS
State : TX
Zip : 75210-2219
Country : US
Telephone Number : 214-266-1075
Fax Number : 214-266-1076
Authorized Official
Title or Position : EVP & COO
Name : EDMUNDO CASTANEDA
Credential :
Telephone Number : 214-590-8006
Provider Enumeration Date : 03/26/2007
Last Update Date : 06/03/2024

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Directions to “DALLAS COUNTY HOSPITAL DISTRICT ” Practice Location

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