Organization
FALLS COMMUNITY HOSPITAL AND CLINIC
Active
Parent organization
FALLS COMMUNITY HOSPITAL AND CLINIC
Other names
FCHC Rucker Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
FALLS COMMUNITY HOSPITAL AND CLINIC
Authorized official
MRS. JESSICA FORD (INTERIM ADMINISTRATOR)
(254) 803-3561
Entity
Organization
Contact information
Practice address
200 N PEARL ST, MART, TX 76664-1142
(254) 803-3561
(254) 883-6066
Mailing address
PO BOX 60, MARLIN, TX 76661-0060
(254) 803-3561
(254) 883-6066
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
E0892
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679318-01
PTAN
TX
05
—
167931801
—
TX
05
—
167931802
—
TX
Enumeration date
05/03/2007
Last updated
06/02/2021
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