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SEMINOLE HOSPITAL DISTRICT OF GAINES COUNTY TEXAS

Alzheimer Center

San Angelo, Texas

Provider NPI: 1295766798

Organization Information:
Organization Name:  SEMINOLE HOSPITAL DISTRICT OF GAINES COUNTY TEXAS


Practice Location:
438 E HOUSTON HARTE EXY POB5661  SAN ANGELO, TX 76903 US
Tel: 325-655-7391  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
TX100313
N314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
TX100313
N314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
TX127690
Y311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
TX127690

Other Provider Identifiers:

IssuerNumberStateType
TDH CONNECT005414TX01
001001699TX05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ALZHEIMERS JOBS TX - Page 1



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