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Hardeman County Memorial Hospital LLC

Organization Active NPI Rural Health Clinic/Center · Paducah, TX

NPI 1487982104 · NPPES record last updated Nov 19, 2009

Key facts

NPI
1487982104
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
License
000102 (TX)
Legal business name
HARDEMAN COUNTY MEMORIAL HOSPITAL LLC
Practice address
917 Gober St
Paducah, TX 79248-1177
Phone
(940) 663-2795
Fax
(940) 663-5149
NPI assigned
Nov 19, 2009
Organization subpart
Yes
Parent organization (as reported)
CRITICAL ACCESS HEALTHCARE LLC

Authorized official

Name
Mr. Charles Richard Slaton
Title
President Ceo
Phone
(940) 663-2795

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Hardeman County Memorial Hospital (4 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 000102 TX Yes

Addresses

Primary practice location

917 Gober St
Paducah, TX 79248-1177

Mailing address

917 Gober St
Paducah, TX 79248-1177
Phone (940) 663-2795

Other identifiers

IdentifierTypeStateIssuer
458830OtherTXRURAL HEALTH CLINIC PADUCAH

Other names

  • Hardeman County Memorial Hospital Doing business as

Other providers in Paducah, TX

All providers in Paducah, TX · Rural Health Clinic/Center in Texas

Sources for this page

Verify at the official NPI Registry.