Graham CC, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

114203 Issued in TX

Legal business name

GRAHAM CC, LLC

Practice address

1325 1St St
Graham, TX 76450-3603

Phone

(940) 549-8787

Fax

(940) 521-0355

NPI assigned

Jan 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Richard Martin

Title

President

Phone

(940) 549-8787

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1417005141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 1ST ST",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764503603",
            "telephone_number": "940-549-8787",
            "fax_number": "940-521-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 1ST ST",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764503603",
            "telephone_number": "940-549-8787",
            "fax_number": "940-521-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM CC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-549-8787",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "114203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey K Gilbertson, M.D. P.A.
• Brady Plowman Gilmore, OTR
• Morgan Tant Gober, OD
• Jerome Mamaril Golez
• Anne Goodwin, MPT
• Graham Dialysis Center, LLC
• Graham Emergency Services
• Graham Emergency Services
• Graham Eye Care LLC
• Graham Fitness and Wellness Center

• Skilled Nursing Facility in Graham, TX
• Providers in Graham, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.