| South Wheeler County Hospital District | |
|
1000 S Main St Shamrock TX 79079-2820 | |
| (806) 256-2114 | |
| (806) 256-2423 |
| Full Name | South Wheeler County Hospital District |
|---|---|
| Speciality | General Acute Care Hospital - Critical Access |
| Location | 1000 S Main St, Shamrock, Texas |
| Authorized Official Name and Position | Wiley M Fires (ADMINISTRATOR/CEO) |
| Authorized Official Contact | 8062562114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Wheeler County Hospital District 1000 S Main St P.o. Box 511 Shamrock TX 79079-2820 Ph: (806) 256-2114 | South Wheeler County Hospital District 1000 S Main St Shamrock TX 79079-2820 Ph: (806) 256-2114 |
| NPI Number | 1538150370 |
|---|---|
| Provider Enumeration Date | 11/01/2005 |
| Last Update Date | 04/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538150370 | NPI | - | NPPES |
| 0921793-01 | Medicaid | TX | |
| 0921793-02 | Medicaid | TX | |
| 1211930-05 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 571 (Texas) | Secondary |
| 282NC0060X | General Acute Care Hospital - Critical Access | 571 (Texas) | Primary |
Romeo B Sangalang Mdpa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 S Main St, Shamrock, TX 79079 Phone: 806-256-1242 |