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1881691061

NPI Code Detail

MEDICARE: GRAHAM HOSPITAL DISTRICT

MEDICARE: GRAHAM 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	282NR1301X	Rural Acute Care Hospital	000094	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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881691061
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRAHAM HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	1301 MONTGOMERY ROAD
Second Line	:
City	:	GRAHAM
State	:	TX
Zip	:	76450
Country	:	US
Telephone Number	:	940-549-3400
Fax Number	:	940-549-5156

Provider Business Practice Location Address
First Line	:	1301 MONTGOMERY RD
Second Line	:
City	:	GRAHAM
State	:	TX
Zip	:	76450-4240
Country	:	US
Telephone Number	:	940-549-3400
Fax Number	:	940-549-5156

Authorized Official
Title or Position	:	CEO
Name	:	MR. SCOTT LANDRUM
Credential	:
Telephone Number	:	940-521-5302

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	10/16/2014

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1235245432 — DR. PETE FLORES BARRERA MD
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Directions to “GRAHAM 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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