| Graham Hospital District | |
|
1301 Montgomery Rd Graham TX 76450-4240 | |
| (940) 549-3400 | |
| Not Available |
| Full Name | Graham Hospital District |
|---|---|
| Speciality | Surgery |
| Location | 1301 Montgomery Rd, Graham, Texas |
| Authorized Official Name and Position | Shane Kernell (CEO) |
| Authorized Official Contact | 9405493400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Graham Hospital District 1301 Montgomery Rd Graham TX 76450-4240 Ph: (940) 549-3400 | Graham Hospital District 1301 Montgomery Rd Graham TX 76450-4240 Ph: (940) 549-3400 |
| NPI Number | 1972950467 |
|---|---|
| Provider Enumeration Date | 05/16/2016 |
| Last Update Date | 01/04/2023 |
| Medicare PECOS PAC ID | 8123246469 |
|---|---|
| Medicare Enrollment ID | O20161229000390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972950467 | NPI | - | NPPES |
| 401018301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 100252 (Texas) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Primary |
| Provider Name | Jagadish Puppala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841292489 PECOS PAC ID: 8325028798 Enrollment ID: I20040726000170 |
| Provider Name | Alvaro Rios |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821074436 PECOS PAC ID: 5496786899 Enrollment ID: I20050825000506 |
| Provider Name | Jeffrey R Hutson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073720785 PECOS PAC ID: 3971777426 Enrollment ID: I20111117000567 |
| Provider Name | Amit Prasad |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104036185 PECOS PAC ID: 4183869183 Enrollment ID: I20130913000303 |
| Provider Name | Steven Glenn Vaughan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366429722 PECOS PAC ID: 8527043223 Enrollment ID: I20190612003817 |
| Provider Name | Catherine M Feist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215499272 PECOS PAC ID: 7719336403 Enrollment ID: I20231206002303 |
| Provider Name | Kippi Denise Lattimore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710502620 PECOS PAC ID: 1557710282 Enrollment ID: I20231206004276 |
Jared Mataska Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1339 East St, Graham, TX 76450 Phone: 940-521-5500 | |
Steven Kent Jones Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1339 East St, Graham, TX 76450 Phone: 940-521-5500 Fax: 940-521-5511 | |
Jack County Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1005 State Highway 16 S, Graham, TX 76450 Phone: 940-282-2512 Fax: 940-567-2895 | |
W Patrick Martin Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1339 East St, Graham, TX 76450 Phone: 940-521-5500 Fax: 940-521-5511 | |
Peter S Brown Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1339 East St, Graham, TX 76450 Phone: 940-521-5500 Fax: 940-521-5511 | |
C Ryan Easterling Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1339 East St, Graham, TX 76450 Phone: 940-521-5500 | |
Hal D Huffman Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1339 East St, Graham, TX 76450 Phone: 940-521-5500 Fax: 940-521-5511 |