# THROCKMORTON COUNTY MEMORIAL HOSP

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

## Provider details

- **NPI number:** 1932229697
- **Authorized official:** MR. KIBY GOBER DVM (CEO)
- **Authorized official phone:** (940) 849-2151

## Contact information

- **Practice address:** 802 N MINTER AVE, THROCKMORTON, TX 76483-5357
- **Practice address phone:** (940) 849-2151
- **Practice address fax:** (940) 849-7141
- **Mailing address:** PO BOX 729, THROCKMORTON, TX 76483-0729
- **Mailing address phone:** (940) 849-2151
- **Mailing address fax:** (940) 849-7141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 224003 | TX | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 03/30/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0881898-01 | — | TX |