| Preferred Hospital Leasing Eldorado Inc | |
|
100 N. North Us Highway 277 Eldorado TX 76936-1246 | |
| (325) 853-3137 | |
| (325) 853-3677 |
| Full Name | Preferred Hospital Leasing Eldorado Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 N. North Us Highway 277, Eldorado, Texas |
| Authorized Official Name and Position | Donald A Freeman (PRESIDENT) |
| Authorized Official Contact | 4058780202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preferred Hospital Leasing Eldorado Inc Po Box V Eldorado TX 76936-1246 Ph: (325) 853-3137 | Preferred Hospital Leasing Eldorado Inc 100 N. North Us Highway 277 Eldorado TX 76936-1246 Ph: (325) 853-3137 |
| NPI Number | 1417985086 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 02/27/2014 |
| Medicare PECOS PAC ID | 5799707618 |
|---|---|
| Medicare Enrollment ID | O20051227000367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417985086 | NPI | - | NPPES |
| 153642702 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Preferred Hospital Leasing Eldorado, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 102 N Us Highway 277, Eldorado, TX 76936 Phone: 325-853-2507 Fax: 325-853-3166 |