Organization
CHILLICOTHE HOSPITAL
Active
Other names
Chillicothe Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA J WATERS (CEO)
(940) 852-5131
Entity
Organization
Contact information
Practice address
14928 US HWY 287 S, CHILLICOTHE, TX 79225
(940) 852-5131
(940) 852-5252
Mailing address
PO BOX 370, BOX 370, CHILLICOTHE, TX 79225-0370
(940) 852-5131
(940) 852-5252
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
00D13V
TX
282NC0060X
Critical Access Hospital
451326
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00D13V
CLINIC MEDICARE #
TX
05
—
111624601
—
TX
05
—
154632701
—
TX
05
—
1548269590
—
TX
Enumeration date
07/20/2005
Last updated
04/16/2025
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