Organization
HARRISON COUNTY HOSPITAL ASSOCIATION
Active
Parent organization
MARSHALL PEDIATRIC CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARSHALL PEDIATRIC CLINIC
Authorized official
RUSSELL COLLIER (CEO)
(903) 927-6734
Entity
Organization
Contact information
Practice address
707 S GROVE ST, MARSHALL, TX 75670-5220
(903) 927-6662
(903) 927-6625
Mailing address
PO BOX 1325, MARSHALL, TX 75671-1325
(903) 927-6662
(903) 927-6625
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153539502
—
TX
Enumeration date
02/10/2006
Last updated
04/26/2017
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