Organization Name: | REAGAN HOSPITAL DISTRICT |
NPI Number: | 1477930121 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KYLE MONROE ROCKWELL (COO) |
Mailing Address: | 800 N Main Ave Big Lake |
State: | TX US |
Postal Code: | 769323900 |
Phone Number: | 3258843743 |
Fax Number: | 3258842996 |
NPI Enumeration Date: | 05/01/2015 |
NPI Last Update Date: | 05/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |