1700991700 NPI number — MOORE COUNTY HOSPITAL DISTRICT

Table of content: (NPI 1700991700)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700991700 NPI number — MOORE COUNTY HOSPITAL DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MOORE 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:
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:
1700991700
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/02/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
224 E 2ND ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DUMAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79029-3808
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
806-935-7171
Provider Business Mailing Address Fax Number:
806-934-7836

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
224 E 2ND ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DUMAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79029-3808
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
806-935-7171
Provider Business Practice Location Address Fax Number:
806-934-7836
Provider Enumeration Date:
08/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
TURNER
Authorized Official First Name:
JEFF
Authorized Official Middle Name:
R
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
806-934-7800

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X , with the licence number: 002372 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251G00000X , with the licence number: 002076 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QA1903X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QR1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 275N00000X , with the licence number: 000199 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282NR1301X , with the licence number: 000199 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 313M00000X , with the licence number: 117334 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 341600000X , with the licence number: 171001 , 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: 000199 , 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: 094129601 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00593K . This is a "PHYSICIAN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 451538 . This is a "HOSPICE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 516828 . This is a "AMBULANCE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: HH9454 . This is a "BCBS HOME HEALTH" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 091665202 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 331607702 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 094129605 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 157069901 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 094129606 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 331607701 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 677531 . This is a "HOME HEALTH" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000206000 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 094129604 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: HH6972 . This is a "BCBS HOSPICE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 104943100 . This is a "FIRSTCARE HOSPITAL ACUTE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: HH0389 . This is a "BCBS HOSPITAL ACUTE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000524901 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 081954201 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 094129602 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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