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Organization

OCHILTREE HOSPITAL DISTRICT

Active
Other names
The DeWitt Family Practice
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KELLY PAIGE JUDICE (INTERIM CEO)
(806) 435-3606
Entity
Organization

Contact information

Practice address
3020 GARRETT DR, PERRYTON, TX 79070-5322
(806) 648-9355
Mailing address
3101 GARRETT DR, PERRYTON, TX 79070-5323
(806) 435-3606
(806) 435-2813

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
98
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0097ES
BLUE CROSS
TX
01
101618100
FIRSTCARE
TX
05
395971001
TX
05
395971002
TX
Enumeration date
05/07/2018
Last updated
10/27/2022
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