| NPI | 1174563779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD BOOTH CEO 432-464-2103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NR1301X General Acute Care Hospital Rural (Licence: TX 000187) |
| Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical |
| 282N00000X General Acute Care Hospital (Licence: TX 000187) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2025-08-22 |