Organization
CROSBYTON CLINIC HOSPITAL
Active
Organization
CROSBYTON CLINIC HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKS ELLISON (PRESIDENT BOARD OF DIRECTORS)
(806) 675-2382
Entity
Organization
Contact information
Practice address
710 W MAIN ST, CROSBYTON, TX 79322-2143
(806) 675-2382
(806) 675-2645
Mailing address
710 W MAIN ST, CROSBYTON, TX 79322-2143
(806) 675-2382
(806) 675-2645
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
000176
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094141103
—
TX
05
—
094141104
—
TX
01
—
142407100
FIRSTCARE
TX
Enumeration date
10/31/2006
Last updated
12/20/2007
Update your record
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