Organization
MITCHELL COUNTY HOSPITAL DISTRICT
Active
Other names
Mitchell County Hospital Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN YVONNE HOLMAN (ADMINISTRATIVE ASSISTANT)
(325) 728-3431
Entity
Organization
Contact information
Practice address
997 W INTERSTATE 20, COLORADO CITY, TX 79512-2685
(325) 728-3431
(325) 728-8974
Mailing address
997 W INTERSTATE 20, COLORADO CITY, TX 79512-2685
(325) 728-3431
(325) 728-8974
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
75
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
75
TX
208600000X
Surgery Physician
75
TX
282NC0060X
Critical Access Hospital
Primary
75
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00533K
MEDICARE GROUP PTAN
TX
Enumeration date
03/14/2008
Last updated
02/24/2011
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