Organization
GRAHAM REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE BLEVINS (CFO)
(940) 549-3400
Entity
Organization
Contact information
Practice address
611 N 4TH ST, JACKSBORO, TX 76458-1113
(940) 567-3707
Mailing address
PO BOX 1390, GRAHAM, TX 76450-1390
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
458585
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
63522901
—
TX
Enumeration date
03/16/2007
Last updated
08/22/2020
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