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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 Facility5289TX

General Provider Information

NPI Number : 1689112377
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH LIMESTONE HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 701 MCCLINTIC DR
Second Line :
City : GROESBECK
State : TX
Zip : 76642-2128
Country : US
Telephone Number : 254-729-3281
Fax Number : 254-729-2689
Provider Business Practice Location Address
First Line : 2104 N KARNES AVE
Second Line :
City : CAMERON
State : TX
Zip : 76520-1055
Country : US
Telephone Number : 254-697-4985
Fax Number : 254-697-2129
Authorized Official
Title or Position : CEO
Name : MR. LARRY N PRICE
Credential :
Telephone Number : 254-729-3281
Provider Enumeration Date : 02/02/2017
Last Update Date : 02/02/2017

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Directions to “SOUTH LIMESTONE HOSPITAL DISTRICT ” Practice Location

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