Organization
CASTRO COUNTY HOSPITAL DISTRICT
Active
Other names
Medical Center of Dimmitt
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELISHA ROSIER (CEO)
(806) 647-2194
Entity
Organization
Contact information
Practice address
300 W HALSELL ST, DIMMITT, TX 79027-1846
(806) 647-2194
(806) 647-3769
Mailing address
300 W HALSELL ST, DIMMITT, TX 79027-1846
(806) 647-2194
(806) 647-3769
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208600000X
Surgery Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N49A
BLUE CROSS BLUE SHIELD
TX
05
—
063566601
—
TX
Enumeration date
05/16/2006
Last updated
05/10/2023
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