Organization
PALO PINTO COUNTY HOSPITAL DISTRICT
Active
Other names
Palo Pinto Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRIS W BROOKS (CHIEF EXECUTIVE OFFICER)
(940) 328-6403
Entity
Organization
Contact information
Practice address
400 SW 25TH AVE, MINERAL WELLS, TX 76067-8246
(940) 328-6403
(940) 328-6523
Mailing address
400 SW 25TH AVE, MINERAL WELLS, TX 76067-8246
(940) 328-6403
(940) 328-6523
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
008490
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HH032C
BCBS OF TEXAS
TX
Enumeration date
12/15/2005
Last updated
10/25/2007
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