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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
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1497165724
Entity Type Code : Organization
Provider Name (Legal Business Name) : TITUS COUNTY HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : PO BOX 511
Second Line :
City : MOUNT PLEASANT
State : TX
Zip : 75456-0511
Country : US
Telephone Number : 903-434-8066
Fax Number : 903-577-6562
Provider Business Practice Location Address
First Line : 1402 LINDA DRIVE
Second Line :
City : MOUNT PLEASANT
State : TX
Zip : 75455-2312
Country : US
Telephone Number : 903-434-8066
Fax Number : 903-577-6562
Authorized Official
Title or Position : CEO
Name : PATTY BOECKMANN
Credential :
Telephone Number : 903-577-6059
Provider Enumeration Date : 05/08/2014
Last Update Date : 04/16/2025

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Directions to “TITUS COUNTY HOSPITAL DISTRICT ” Practice Location

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