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NPI Code Detail

MEDICARE: HAMILTON COUNTY HOSPITAL DISTRICT

MEDICARE: HAMILTON 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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1972839348
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAMILTON COUNTY HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 2428 BAHAMA DR
Second Line :
City : DALLAS
State : TX
Zip : 75211-2121
Country : US
Telephone Number : 214-948-3811
Fax Number :
Provider Business Practice Location Address
First Line : 2428 BAHAMA DR
Second Line :
City : DALLAS
State : TX
Zip : 75211-2121
Country : US
Telephone Number : 214-948-3811
Fax Number :
Authorized Official
Title or Position : CEO
Name : GRADY HOOPER
Credential :
Telephone Number : 254-386-1950
Provider Enumeration Date : 10/20/2009
Last Update Date : 04/06/2023

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Directions to “HAMILTON COUNTY HOSPITAL DISTRICT ” Practice Location

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