1801045182 NPI number — HANSFORD COUNTY HOSPITAL DISTRICT

Table of content: (NPI 1801045182)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801045182 NPI number — HANSFORD COUNTY HOSPITAL DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HANSFORD COUNTY HOSPITAL DISTRICT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PALO DURO HEALTH CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801045182
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/16/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
707 ROLAND ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SPEARMAN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79081-3441
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
806-659-2535
Provider Business Mailing Address Fax Number:
806-659-5844

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
712 ROLAND ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPEARMAN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79081-3442
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
806-659-1778
Provider Business Practice Location Address Fax Number:
806-659-5844
Provider Enumeration Date:
09/11/2008

Additional Information

Authorized Official

Authorized Official Last Name:
FITZGEARLD
Authorized Official First Name:
BLAKE
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
806-659-1111

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com