| Eastland Memorial Hospital District | |
|
Walnut Street Clinic 200 Walnut Street Clinic Ranger TX 76448-7644 | |
| (254) 647-1182 | |
| Not Available |
| Full Name | Eastland Memorial Hospital District |
|---|---|
| Speciality | Clinic/Center |
| Location | Walnut Street Clinic, Ranger, Texas |
| Authorized Official Name and Position | Laban Joe Wright (CEO/ADMINISTRATOR) |
| Authorized Official Contact | 2546315342 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastland Memorial Hospital District Walnut Street Clinic 304 S. Daugherty Street Eastland TX 76448 Ph: (254) 631-5342 | Eastland Memorial Hospital District Walnut Street Clinic 200 Walnut Street Clinic Ranger TX 76448-7644 Ph: (254) 647-1182 |
| NPI Number | 1760005953 |
|---|---|
| Provider Enumeration Date | 05/21/2020 |
| Last Update Date | 08/26/2022 |
| Medicare PECOS PAC ID | 3072412725 |
|---|---|
| Medicare Enrollment ID | O20200803002549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760005953 | NPI | - | NPPES |
| 45D0487940 | Other | TX | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |