CHILLICOTHE HOSPITAL NPI 1548269590

NPI Information

NPI: 1548269590
Provider Name: CHILLICOTHE HOSPITAL

Doing Business As: CHILLICOTHE FAMILY CLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
303 AVENUE I
BOX 370
CHILLICOTHE, TX
ZIP 79225
Phone: (940) 852-5131
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CHILLICOTHE HOSPITAL is a primary care clinic center in Chillicothe, TX. CHILLICOTHE HOSPITAL NPI is 1548269590. The provider is registered as an organization entity type.
The provider Is Doing Business As Chillicothe Family Clinic.

The provider's business location address is:

303 AVENUE I
BOX 370
CHILLICOTHE, TX
ZIP 79225-370
Phone: (940) 852-5131
Fax: (940) 852-5252

The provider's authorized official is Brandi Roxanne Williams .
The authorized official title is Ceo and has the following contact phone number (918) 616-9953.

The enumeration date for this NPI number is 7/20/2005 and was last updated on 2/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282NC0060X	General Acute Care Hospital	Critical Access	451326	TEXAS	No
2	261QP2300X	Clinic/Center	Primary Care	00D13V	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00D13V	OTHER	TEXAS	CLINIC MEDICARE #
2	111624601	MEDICAID	TEXAS
3	154632701	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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