Organization
MITCHELL COUNTY HOSPITAL DISTICT
Active
Other names
Sage Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBBIE DEWBERRY (CEO)
(325) 728-3431
Entity
Organization
Contact information
Practice address
1201 N 15TH ST, LAMESA, TX 79331-3025
(806) 872-2141
(806) 872-2299
Mailing address
1201 N 15TH ST, LAMESA, TX 79331-3025
(806) 872-2141
(806) 872-2299
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004672
—
TX
Enumeration date
08/23/2013
Last updated
08/30/2013
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