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NPI Code Detail

MEDICARE: COMANCHE COUNTY CONSOLIDATED HOSPITAL DISTRICT

MEDICARE: COMANCHE COUNTY CONSOLIDATED 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
1251G00000XCommunity Based Hospice Care Agency007655TX

General Provider Information

NPI Number : 1619948759
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMANCHE COUNTY CONSOLIDATED HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 108 W OAK AVE
Second Line :
City : COMANCHE
State : TX
Zip : 76442-3273
Country : US
Telephone Number : 325-356-2509
Fax Number : 325-356-3716
Provider Business Practice Location Address
First Line : 108 W OAK AVE
Second Line :
City : COMANCHE
State : TX
Zip : 76442-3273
Country : US
Telephone Number : 325-356-2509
Fax Number : 325-356-3716
Authorized Official
Title or Position : CEO
Name : WILLIAM EVAN MOORE
Credential :
Telephone Number : 254-879-4900
Provider Enumeration Date : 01/27/2006
Last Update Date : 06/09/2008

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Directions to “COMANCHE COUNTY CONSOLIDATED HOSPITAL DISTRICT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.