1407982481 NPI number — NORTH RUNNELS COUNTY HOSPITAL

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407982481 NPI number — NORTH RUNNELS COUNTY HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTH RUNNELS COUNTY HOSPITAL
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:
NORTH RUNNELS HOSPITAL ER
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:
1407982481
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/06/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 185
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WINTERS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79567-0185
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
325-754-4553
Provider Business Mailing Address Fax Number:
325-754-5097

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7821 STATE HIGHWAY 153
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WINTERS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79567-7345
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
325-754-4553
Provider Business Practice Location Address Fax Number:
325-754-5097
Provider Enumeration Date:
02/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
TUCKER
Authorized Official First Name:
SIDNEY
Authorized Official Middle Name:
Authorized Official Title or Position:
INTERIM CEO
Authorized Official Telephone Number:
325-754-1500

Provider Taxonomy Codes

  • Taxonomy code: 282NC0060X , with the licence number:  000151 , 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)

  • Identifier: 020989202 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com