MEDICARE: KIMBLE COUNTY 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	282NC0060X	Critical Access Hospital	000205	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

General Provider Information

NPI Number	:	1972588390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIMBLE COUNTY HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	349 REID RD
Second Line	:
City	:	JUNCTION
State	:	TX
Zip	:	76849-3049
Country	:	US
Telephone Number	:	325-446-3321
Fax Number	:	325-446-3769

Provider Business Practice Location Address
First Line	:	349 REID RD
Second Line	:
City	:	JUNCTION
State	:	TX
Zip	:	76849-3049
Country	:	US
Telephone Number	:	325-446-3321
Fax Number	:	325-446-3769

Authorized Official
Title or Position	:	CEO
Name	:	SUSAN PARKER
Credential	:
Telephone Number	:	325-446-3321

Provider Enumeration Date	:	12/08/2005
Last Update Date	:	05/01/2025

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Directions to “KIMBLE COUNTY HOSPITAL DISTRICT ” Practice Location

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