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NPI Code Detail

MEDICARE: TITUS COUNTY HOSPITAL DISTRICT

MEDICARE: TITUS 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 : 1477952794
Entity Type Code : Organization
Provider Name (Legal Business Name) : TITUS COUNTY HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 300 E BAKER ST
Second Line :
City : CLARKSVILLE
State : TX
Zip : 75426-5034
Country : US
Telephone Number : 903-427-2236
Fax Number : 903-427-5235
Provider Business Practice Location Address
First Line : 300 E BAKER ST
Second Line :
City : CLARKSVILLE
State : TX
Zip : 75426-5034
Country : US
Telephone Number : 903-427-2236
Fax Number : 903-427-5235
Authorized Official
Title or Position : CFO
Name : TERRY SCOGGIN
Credential :
Telephone Number : 903-577-6066
Provider Enumeration Date : 08/22/2014
Last Update Date : 08/22/2014

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Directions to “TITUS COUNTY HOSPITAL DISTRICT ” Practice Location

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