Organization
COZBY-GERMANY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM ELLIOTT (BOARD MEMBER)
(903) 962-4242
Entity
Organization
Contact information
Practice address
707 NORTH WALDRIP STREET, GRAND SALINE, TX 75140-1555
(903) 962-4242
(903) 962-7338
Mailing address
707 NORTH WALDRIP STREET, GRAND SALINE, TX 75140-1555
(903) 962-4242
(903) 962-7338
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
000138
TX
207Q00000X
Family Medicine Physician
L4110
TX
282NR1301X
Rural Acute Care Hospital
Primary
000138
TX
367500000X
Certified Registered Nurse Anesthetist
453723
TX
367500000X
Certified Registered Nurse Anesthetist
547756
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082154801
—
TX
05
—
092351801
—
TX
05
—
092351802
—
TX
05
—
132249606
—
TX
Enumeration date
07/07/2005
Last updated
05/06/2013
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