Provider Demographics
NPI:1508386822
Name:GPCH, LLC
Entity Type:Organization
Organization Name:GPCH, LLC
Other - Org Name:BORGER GENERAL SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:R
Authorized Official - Last Name:SLATON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-467-5350
Mailing Address - Street 1:100 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:BORGER
Mailing Address - State:TX
Mailing Address - Zip Code:79007-7579
Mailing Address - Country:US
Mailing Address - Phone:806-467-5350
Mailing Address - Fax:806-275-9282
Practice Address - Street 1:50 MEDICAL DR
Practice Address - Street 2:STE 200
Practice Address - City:BORGER
Practice Address - State:TX
Practice Address - Zip Code:79007-4406
Practice Address - Country:US
Practice Address - Phone:806-467-5350
Practice Address - Fax:806-275-9282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty