| Hardeman County Memorial Hospital Llc | |
|
917 Gober St Paducah TX 79248-1177 | |
| (940) 663-2795 | |
| (940) 663-5149 |
| Full Name | Hardeman County Memorial Hospital Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 917 Gober St, Paducah, Texas |
| Authorized Official Name and Position | Charles Richard Slaton (PRESIDENT CEO) |
| Authorized Official Contact | 9406632795 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hardeman County Memorial Hospital Llc 917 Gober St Paducah TX 79248-1177 Ph: (940) 663-2795 | Hardeman County Memorial Hospital Llc 917 Gober St Paducah TX 79248-1177 Ph: (940) 663-2795 |
| NPI Number | 1487982104 |
|---|---|
| Provider Enumeration Date | 11/19/2009 |
| Last Update Date | 11/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487982104 | NPI | - | NPPES |
| 458830 | Other | TX | RURAL HEALTH CLINIC PADUCAH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 000102 (Texas) | Primary |
Childress County Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 917 Gober St, Paducah, TX 79248 Phone: 940-637-9178 |