Organization
SOUTH LIMESTONE HOSPITAL DISTRICT
Active
Other names
Family Medicine Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY PRICE (ADMINISTRATOR)
(254) 729-3411
Entity
Organization
Contact information
Practice address
701 MCCLINTIC DR, GROESBECK, TX 76642-2128
(254) 729-3411
(254) 729-3258
Mailing address
701 MCCLINTIC DR, GROESBECK, TX 76642-2128
(254) 729-3411
(254) 729-3258
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
000052
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030MQ
BLUE CROSS FMC
TX
05
—
121728302
—
TX
Enumeration date
09/26/2005
Last updated
03/14/2013
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