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NPI Code Detail

MEDICARE: LAVACA HOSPITAL DISTRICT

MEDICARE: LAVACA 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
1275N00000XMedicare Defined Swing Bed Hospital Unit

General Provider Information

NPI Number : 1649233776
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAVACA HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 1400 N TEXANA ST
Second Line :
City : HALLETTSVILLE
State : TX
Zip : 77964-2021
Country : US
Telephone Number : 361-798-3671
Fax Number : 361-798-3128
Provider Business Practice Location Address
First Line : 1400 N TEXANA ST
Second Line :
City : HALLETTSVILLE
State : TX
Zip : 77964-2021
Country : US
Telephone Number : 361-798-3671
Fax Number : 361-798-3128
Authorized Official
Title or Position : ADMINISTRATOR
Name : JACK S BOWEN
Credential :
Telephone Number : 361-798-3671
Provider Enumeration Date : 04/10/2006
Last Update Date : 10/20/2020

Similar Medicare Providers

1871599639 — DR. FRANK SAUNDERS M.D.
Practice Location Address:
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HALLETTSVILLE, TX
77964-2021
Practice Phone: 361-798-3671
Practice Fax: 361-798-3128
1992767511 — LAVACA HOSPITAL DISTRICT
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1245274471 — LAVACA HOSPITAL DISTRICT
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1699799452 — DR. SUSAN L KRAEMER MD
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1497764047 — LAUREN KELLY KUTAC RN, FNP-C
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1770592313 — CARLETON K THOMPSON M.D.
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Directions to “LAVACA HOSPITAL DISTRICT ” Practice Location

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