1326379330 NPI number — DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT

Table of content: (NPI 1326379330)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326379330 NPI number — DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DALLAM-HARTLEY COUNTIES 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:
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:
1326379330
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/06/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 177
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TEXLINE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79087-0177
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
806-362-4651
Provider Business Mailing Address Fax Number:
806-362-4627

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 N 3RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TEXLINE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79087
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
806-362-4651
Provider Business Practice Location Address Fax Number:
806-362-4627
Provider Enumeration Date:
01/15/2010

Additional Information

Authorized Official

Authorized Official Last Name:
TAMAYO
Authorized Official First Name:
LOREE
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO AND HOSPITAL ADMINISTRATOR
Authorized Official Telephone Number:
806-244-4571

Provider Taxonomy Codes

  • Taxonomy code: 261QR1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363A00000X , with the licence number: PA01505 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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