Provider Demographics
NPI:1467495598
Name:SCHLEICHER COUNTY MEDICAL CENTER
Entity Type:Organization
Organization Name:SCHLEICHER COUNTY MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT BOARD OF DIRECTORS
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:RANDY
Authorized Official - Last Name:MANKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-853-2507
Mailing Address - Street 1:PO BOX V
Mailing Address - Street 2:
Mailing Address - City:ELDORADO
Mailing Address - State:TX
Mailing Address - Zip Code:76936-1246
Mailing Address - Country:US
Mailing Address - Phone:325-853-2507
Mailing Address - Fax:325-853-3166
Practice Address - Street 1:400 W MURCHISON AVE
Practice Address - Street 2:
Practice Address - City:ELDORADO
Practice Address - State:TX
Practice Address - Zip Code:76936
Practice Address - Country:US
Practice Address - Phone:325-853-2507
Practice Address - Fax:325-853-3166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-14
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116222313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility