# COLORADO FAYETTE MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COLORADO FAYETTE MEDICAL CENTER
- **Other names:** Flatonia Community Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356663546
- **Legal business name:** COLORADO FAYETTE MEDICAL CENTER
- **Authorized official:** MR. SHANNON MCBRIDE (CEO)
- **Authorized official phone:** (979) 725-9531

## Contact information

- **Practice address:** 113 W SOUTH MAIN ST, FLATONIA, TX 78941-2665
- **Practice address phone:** (361) 865-3561
- **Practice address fax:** (361) 865-3435
- **Mailing address:** P O BOX 909, 113 W SOUTH MAIN STREET, FLATONIA, TX 78941-2665
- **Mailing address phone:** (361) 865-3561
- **Mailing address fax:** (361) 865-3439

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | 000005 | TX | Yes |

## Other

- **Enumeration date:** 02/16/2010
- **Last updated:** 05/05/2010