Organization Name: | COMANCHE COUNTY CONSOLIDATED HOSPITAL DISTRICT |
NPI Number: | 1619948759 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM EVAN MOORE (CEO) |
Mailing Address: | 108 W Oak Ave Comanche |
State: | TX US |
Postal Code: | 764423273 |
Phone Number: | 3253562509 |
Fax Number: | 3253563716 |
NPI Enumeration Date: | 01/27/2006 |
NPI Last Update Date: | 06/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 007655 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |