Organization
MITCHELL COUNTY HOSPITAL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE MICHELLE GAFFORD (CEO)
(325) 728-3431
Entity
Organization
Contact information
Practice address
997 WEST INTERSTATE 20, COLORADO CITY, TX 79512-2685
(325) 728-3431
(325) 728-8974
Mailing address
997 WEST INTERSTATE 20, COLORADO CITY, TX 79512-2685
(325) 728-3431
(325) 728-8974
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208600000X
Surgery Physician
—
—
282NC0060X
Critical Access Hospital
Primary
75
TX
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136325111
—
TX
01
—
45Z342
SWINGBED PROGRAM FOR CAH
TX
Enumeration date
08/01/2006
Last updated
09/16/2024
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