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Organization
KIMBLE COUNTY HOSPITAL DISTRICT
Active
Organization
KIMBLE COUNTY HOSPITAL DISTRICT
Active
Other names
Junction Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD FREEMAN (PRESIDENT)
(405) 878-0202
Entity
Organization
Contact information
Practice address
109 REID RD, JUNCTION, TX 76849-3008
(325) 446-3305
Mailing address
2101 MAIN ST, JUNCTION, TX 76849-3024
(325) 446-3305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
TX
208D00000X
General Practice Physician
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0036HG
BLUE CROSS BLUE SHIELD
TX
05
—
091924301
—
TX
05
—
091924303
—
TX
Enumeration date
07/25/2006
Last updated
01/13/2009
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