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Organization
CARRUS LAKESIDE HOSPITAL, LLC
Active
Organization
CARRUS LAKESIDE HOSPITAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANBARASU NACHIMUTHU (CHAIRMAN & CEO)
(903) 870-2745
Entity
Organization
Contact information
Practice address
700 W 7TH AVE STE 6, BRISTOW, OK 74010-2302
(903) 870-2745
(903) 870-2795
Mailing address
1810 W US HIGHWAY 82, SHERMAN, TX 75092-7069
(903) 870-2745
(903) 870-2795
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
282NC0060X
Critical Access Hospital
—
—
Other
Enumeration date
09/23/2021
Last updated
12/05/2024
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