# COLORADO FAYETTE MEDICAL CENTER

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

## Provider details

- **NPI number:** 1457376733
- **Authorized official:** STEVEN E GULARTE (CEO)
- **Authorized official phone:** (979) 725-9531

## Contact information

- **Practice address:** 400 YOUENS DR, WEIMAR, TX 78962-3680
- **Practice address phone:** (979) 725-9531
- **Practice address fax:** (979) 725-8132
- **Mailing address:** 400 YOUENS DR, WEIMAR, TX 78962-3680
- **Mailing address phone:** (979) 725-9531
- **Mailing address fax:** (979) 725-8132

## Taxonomy

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

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 03/27/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 112700301 | — | TX |
| 05 | — | 112700302 | — | TX |
| 05 | — | 112700303 | — | TX |
| 05 | — | 282NR1301X | — | TX |
| 01 | — | HH0466 | BCBS PROVIDER NUMBER | TX |
| 01 | — | HH9604 | BCBS HOME HEALTH | TX |