Organization
FISHER COUNTY HOSPITAL DISTRICT
Active
Other names
Clearfork Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
CALEB WHITE (CFO)
(325) 735-2256
Entity
Organization
Contact information
Practice address
774 STATE HWY 70 N, ROTAN, TX 79546-6918
(325) 735-2211
(325) 735-2240
Mailing address
774 STATE HWY 70 N, ROTAN, TX 79546-6918
(325) 735-2211
(325) 735-2240
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015DJ
BCBS GROUP PROVIDER NUMBER
TX
05
—
108080602
—
TX
Enumeration date
11/16/2005
Last updated
06/12/2024
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