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Organization

LLANO COUNTY HOSPITAL AUTHORITY

Active
Other names
Mason Rural Health Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEVIN A LEEPER (CEO)
(325) 247-7868
Entity
Organization

Contact information

Practice address
216 E COLLEGE, MASON, TX 76856-1390
(325) 347-5926
(325) 347-5331
Mailing address
200 W OLLIE ST, LLANO, TX 78643-2628

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
0000476
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00298K
BCBS
TX
05
171286101
TX
Enumeration date
11/09/2005
Last updated
08/26/2008
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