# COZBY-GERMANY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215934989
- **Authorized official:** MR. TOM ELLIOTT (BOARD MEMBER)
- **Authorized official phone:** (903) 962-4242

## Contact information

- **Practice address:** 707 NORTH WALDRIP STREET, GRAND SALINE, TX 75140-1555
- **Practice address phone:** (903) 962-4242
- **Practice address fax:** (903) 962-7338
- **Mailing address:** 707 NORTH WALDRIP STREET, GRAND SALINE, TX 75140-1555
- **Mailing address phone:** (903) 962-4242
- **Mailing address fax:** (903) 962-7338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 000138 | TX | — |
| 207Q00000X | Family Medicine Physician | L4110 | TX | — |
| 282NR1301X | Rural Acute Care Hospital | 000138 | TX | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | 453723 | TX | — |
| 367500000X | Certified Registered Nurse Anesthetist | 547756 | TX | — |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 05/06/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 082154801 | — | TX |
| 05 | — | 092351801 | — | TX |
| 05 | — | 092351802 | — | TX |
| 05 | — | 132249606 | — | TX |