Basic Information
Provider Information
NPI: 1275137283
EntityType: 2
ReplacementNPI:  
OrganizationName: NOCONA HOSPITAL DISTRICT
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2901 STERLING HART DR
Address2:  
City: COMMERCE
State: TX
PostalCode: 754283911
CountryCode: US
TelephoneNumber: 9038862510
FaxNumber: 9038863538
Practice Location
Address1: 2901 STERLING HART DR
Address2:  
City: COMMERCE
State: TX
PostalCode: 754283911
CountryCode: US
TelephoneNumber: 9038862510
FaxNumber: 9038863538
Other Information
ProviderEnumerationDate: 11/30/2020
LastUpdateDate: 11/30/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: MEEKINS
AuthorizedOfficialFirstName: GREG
AuthorizedOfficialMiddleName: LANCE
AuthorizedOfficialTitleorPosition: CEO
AuthorizedOfficialTelephone: 9408253235
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/30/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
314000000X  Y Nursing & Custodial Care FacilitiesSkilled Nursing Facility 

No ID Information.


Home