Organization Name: | PALO PINTO COUNTY HOSPITAL DISTRICT |
NPI Number: | 1912982174 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HARRIS W BROOKS (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 118 S Main St Gordon |
State: | TX US |
Postal Code: | 76453 |
Phone Number: | 2546935211 |
Fax Number: | 9403286523 |
NPI Enumeration Date: | 12/09/2005 |
NPI Last Update Date: | 11/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | 34 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |