Organization
ROLLING PLAINS MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS DIPPEL (CEO)
(325) 235-1701
Entity
Organization
Contact information
Practice address
200 E ARIZONA AVE, SWEETWATER, TX 79556-7120
(325) 235-1701
(325) 235-8705
Mailing address
PO BOX 690, SWEETWATER, TX 79556-0690
(325) 235-1701
(325) 235-8705
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
000471
TX
275N00000X
Medicare Defined Swing Bed Hospital Unit
000471
TX
282N00000X
General Acute Care Hospital
Primary
000471
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133244703
—
TX
05
—
133244705
—
TX
Enumeration date
05/05/2006
Last updated
07/25/2024
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