Organization · Type 2 NPI

South Limestone Hospital District

Family Nurse Practitioner · Mart, TX

NPI number 1275242489 Active

Practice location

200 N Pearl St
Mart, TX 76664-1142

Call (254) 729-3281 Map

Fax (254) 729-3080

Mailing address

701 Mcclintic Dr
Groesbeck, TX 76642-2128

Specialties and licenses

Taxonomy	Code	License
Clinic/Center	261Q00000X	None listed
Critical Access Hospital Clinic/Center	261QC0050X	None listed
Physician Assistant	363A00000X	None listed
Family Nurse Practitioner Primary	363LF0000X	None listed

Family Nurse Practitioner: Definition to come...

2 other providers at this address

NPI record

NPI: 1275242489
Entity type: Organization (Type 2)
Issued: Nov 16, 2022
Last updated: Oct 30, 2024
Status: Active
Subpart: Yes of South Limestone Hospital District

Other names

<unavail>
Rucker Clinic A Limestone Medical Center Clinic · doing business as

Authorized official

Julie Ann Wilson
Chief Compliance Officer
(254) 729-3281

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1275242489

South Limestone Hospital District's National Provider Identifier is 1275242489, issued on Nov 16, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mart, TX. The record was last updated on Oct 30, 2024.