1891828059 NPI number — CASTRO COUNTY HOSPITAL DISTRICT

Table of content: (NPI 1891828059)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891828059 NPI number — CASTRO COUNTY HOSPITAL DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CASTRO 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:
PLAINS MEMORIAL HOSPITAL
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:
1891828059
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/10/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
310 W HALSELL ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DIMMITT
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79027-1846
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
806-647-2191
Provider Business Mailing Address Fax Number:
806-647-2407

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
310 W HALSELL ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DIMMITT
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79027-1846
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
806-647-2191
Provider Business Practice Location Address Fax Number:
806-647-2407
Provider Enumeration Date:
03/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ROSIER
Authorized Official First Name:
ELISHA
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
806-647-2191

Provider Taxonomy Codes

  • Taxonomy code: 261QE0002X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 035619802 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8R5844 . This is a "GREGORIO MATOS MD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 136142012 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8M6444 . This is a "DANIEL GRIFFIS MD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 8404N1 . This is a "SKYLAR BIZZELL MD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 87M005 . This is a "GARY HARDEE MD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 130796903 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 149387602 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00J24A . This is a "BCBS ER GROUP" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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