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BOOKER HOSPITAL DISTRICT NPI 1699844878


NPI Information

NPI: 1699844878
Provider Name: BOOKER HOSPITAL DISTRICT

Doing Business As: TEARE MEMORIAL CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 45D0934575

Address:
146 N PIONEER DRIVE
BOOKER, TX
ZIP 79005
Phone: (806) 658-4531
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BOOKER HOSPITAL DISTRICT is a rural health clinic center in Booker, TX. BOOKER HOSPITAL DISTRICT NPI is 1699844878. The provider is registered as an organization entity type.
The provider Is Doing Business As Teare Memorial Clinic.

The provider's business location address is:

146 N PIONEER DRIVE
BOOKER, TX
ZIP 79005-008
Phone: (806) 658-4531
Fax: (806) 658-9344

The provider's authorized official is Lisa Brown .
The authorized official title is Aprn/administrator and has the following contact phone number (806) 658-4531.

The CLIA number assigned to this NPI record is 45D0934575 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 6/28/2021.


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
1261QR1300XClinic/CenterRural Health652675TEXASYes

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
1063663101MEDICAIDTEXAS

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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