Granite Mesa Health Center, LTD.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GRANITE MESA HEALTH CENTER, LTD.

Practice address

1401 Max Copeland Drive
Marble Falls, TX 78654-4665

Phone

(830) 693-0022

Fax

(830) 693-2322

NPI assigned

Dec 3, 2008

Organization subpart

No

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

Authorized official

Name

Mr. William C Horabin

Title

President

Phone

(830) 693-0022

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Granite Mesa Health Center Doing business as

Locations

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1821233941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SOUTH MOPAC",
            "address_2": "FOUR BARTON SKYWAY, SUITE 320",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466921",
            "telephone_number": "512-703-2210",
            "fax_number": "512-703-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MAX COPELAND DRIVE",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786544665",
            "telephone_number": "830-693-0022",
            "fax_number": "830-693-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE MESA HEALTH CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "HORABIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-693-0022",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001016519",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granite Mesa Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gary James Gostnell, PA-C
• Jazmin Graff, MD
• John Edward Gravitt, RPH
• Chad Gray, MD
• Christina Gray, PA-C
• Mary Kelly Green, MD
• Jordan Griffing, RD, LD, MS

• Skilled Nursing Facility in Marble Falls, TX
• Providers in Marble Falls, 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 Sep 16, 2009; 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.