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NPI Code Detail

MEDICARE: SOUTH LIMESTONE HOSPITAL DISTRICT

MEDICARE: SOUTH LIMESTONE 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 Facility117820TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1183718901OTHERTXMCD CO B
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669490496
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH LIMESTONE HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 1500 WATERS RIDGE DR
Second Line : SUITE 200
City : LEWISVILLE
State : TX
Zip : 75057-6011
Country : US
Telephone Number : 972-899-4401
Fax Number : 972-899-4460
Provider Business Practice Location Address
First Line : 8300 ELDORADO PKWY
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-5946
Country : US
Telephone Number : 972-548-9339
Fax Number : 972-569-9300
Authorized Official
Title or Position : CEO
Name : LARRY PRICE
Credential :
Telephone Number : 254-729-2689
Provider Enumeration Date : 07/18/2006
Last Update Date : 01/15/2015

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Directions to “SOUTH LIMESTONE HOSPITAL DISTRICT ” Practice Location

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