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Organization

TYLER COUNTY HOSPITAL HOMEHEALTH

Active
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Organization

TYLER COUNTY HOSPITAL HOMEHEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID C CAMPBELL (CFO)
(409) 283-6440
Entity
Organization

Contact information

Practice address
211 KELLEY BLVD, WOODVILLE, TX 75979-4713
(409) 283-6444
(409) 283-6430
Mailing address
PO BOX 549, WOODVILLE, TX 75979-0549
(409) 283-6444
(409) 283-6430

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
002223
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HH9416
BLUE CROSS PROVIDER NO.
TX
Enumeration date
07/19/2005
Last updated
08/22/2020
About Stedi
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