1861475626 NPI number — PARMER COUNTY COMMUNITY HOSPITAL INC.

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 1861475626 NPI number — PARMER COUNTY COMMUNITY HOSPITAL INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PARMER COUNTY COMMUNITY HOSPITAL INC.
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:
Provider Other Organization Name Type Code:
6
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:
1861475626
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/20/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1307 CLEVELAND
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRIONA
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79035-1121
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
806-250-2754
Provider Business Mailing Address Fax Number:
806-250-2088

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1307 CLEVELAND AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRIONA
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79035-1121
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
806-250-2754
Provider Business Practice Location Address Fax Number:
806-250-2031
Provider Enumeration Date:
11/25/2005

Additional Information

Authorized Official

Authorized Official Last Name:
QUILLIN
Authorized Official First Name:
GAYLA
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
806-250-2754

Provider Taxonomy Codes

  • Taxonomy code: 282NC0060X , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282NC0060X , with the licence number: 000200 , 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: A2542 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2026 www.npivalidator.com