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1861487779

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
1	314000000X	Skilled Nursing Facility
2	275N00000X	Medicare Defined Swing Bed Hospital Unit
3	282NR1301X	Rural Acute Care Hospital	000052	TX
4	207P00000X	Emergency Medicine Physician	000052	TX
5	261QC0050X	Critical Access Hospital Clinic/Center
6	282NC0060X	Critical Access Hospital	000052	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	HH0676	OTHER	TX	BLUE CROSS HOSPITAL
6	00JS34	OTHER	TX	BLUE CROSS PRO FEES
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861487779
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	:	254-729-3080

Provider Business Practice Location Address
First Line	:	701 MCCLINTIC DR
Second Line	:
City	:	GROESBECK
State	:	TX
Zip	:	76642-2128
Country	:	US
Telephone Number	:	254-729-3281
Fax Number	:	254-729-3080

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. LARRY N PRICE
Credential	:
Telephone Number	:	254-729-3281

Provider Enumeration Date	:	09/16/2005
Last Update Date	:	12/16/2024

Similar Medicare Providers

1669468617 — SOUTH LIMESTONE HOSPITAL DISTRICT
Practice Location Address:

701 MCCLINTIC DR
GROESBECK, TX
76642-2128

Practice Phone: 254-729-3411
Practice Fax: 254-729-3258

1861442642 — DR. KENNETH G. LOMENZO M.D.
Practice Location Address:

701 MCCLINTIC DR
GROESBECK, TX
76642-2128

Practice Phone: 254-729-3411
Practice Fax: 254-729-3258

1942250527 — DR. SHEER S. RAHAMAN M.D.
Practice Location Address:

701 MCCLINTIC DR
GROESBECK, TX
76642-2128

Practice Phone: 254-729-3411
Practice Fax: 254-729-3258

1174538623 — PODIATRY OF CENTRAL TEXAS PA
Practice Location Address:

701 MCCLINTIC DR
GROESBECK, TX
76642-2128

Practice Phone: 800-957-9971
Practice Fax: 888-878-2856

1619062734 — DR. LARRY C HUGHES D.O.
Practice Location Address:

701 MCCLINTIC DR
GROESBECK, TX
76642-2128

Practice Phone: 254-729-3411
Practice Fax: 254-729-3258

1912196288 — GAYLE ANN HACKBARTH FNP
Practice Location Address:

701 MCCLINTIC DR
GROESBECK, TX
76642-2128

Practice Phone: 254-729-3411
Practice Fax: 254-729-3258

Directions to “SOUTH LIMESTONE HOSPITAL DISTRICT ” Practice Location

Language	Start Address	Practice Location

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.

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