Organization
HARDEMAN COUNTY MEMORIAL HOSPITAL LLC
Active
Parent organization
CRITICAL ACCESS HEALTHCARE LLC
Other names
Hardeman County Memorial Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRITICAL ACCESS HEALTHCARE LLC
Authorized official
MR. CHARLES RICHARD SLATON (PRESIDENT CEO)
(940) 663-2795
Entity
Organization
Contact information
Practice address
917 GOBER ST, PADUCAH, TX 79248-1177
(940) 663-2795
(940) 663-5149
Mailing address
917 GOBER ST, PADUCAH, TX 79248-1177
(940) 663-2795
(940) 663-5149
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
000102
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
458830
RURAL HEALTH CLINIC PADUCAH
TX
Enumeration date
11/19/2009
Last updated
11/19/2009
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