Organization
PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP
Active
Other names
Palestine Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNETTA TRAYLOR (ADMINISTRATOR)
(502) 596-6063
Entity
Organization
Contact information
Practice address
2900 S LOOP 256, PALESTINE, TX 75801-6958
(903) 731-1000
(903) 731-2236
Mailing address
680 S 4TH ST # KH3, LOUISVILLE, KY 40202-2407
(502) 596-6063
(502) 212-8481
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088227601
—
TX
05
—
121816601
—
TX
05
—
121816602
—
TX
01
—
74791525007
CHAMPUS
TX
01
—
HH0818
BCBS
TX
Enumeration date
10/10/2006
Last updated
06/11/2025
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