Provider Demographics
NPI:1972830008
Name:CAHRMC LLC
Entity type:Organization
Organization Name:CAHRMC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:SLATON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-335-4433
Mailing Address - Street 1:1011 S DILL ST
Mailing Address - Street 2:
Mailing Address - City:EAST BERNARD
Mailing Address - State:TX
Mailing Address - Zip Code:77435-8781
Mailing Address - Country:US
Mailing Address - Phone:979-335-4433
Mailing Address - Fax:979-335-4837
Practice Address - Street 1:1011 S DILL ST
Practice Address - Street 2:
Practice Address - City:EAST BERNARD
Practice Address - State:TX
Practice Address - Zip Code:77435-8781
Practice Address - Country:US
Practice Address - Phone:979-335-4433
Practice Address - Fax:979-335-4837
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CRITICAL ACCESS HEALTHCARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-11-10
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural HealthGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB119928Medicare PIN