Basic Information
| Provider Information | |||||||||
| NPI: | 1750985909 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HAMILTON COUNTY HOSPITAL DISTRICT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1241 WESTRIDGE AVE | ||||||||
| Address2: | |||||||||
| City: | LANCASTER | ||||||||
| State: | TX | ||||||||
| PostalCode: | 751461442 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9722275110 | ||||||||
| FaxNumber: | 9722279189 | ||||||||
| Practice Location | |||||||||
| Address1: | 1241 WESTRIDGE AVE | ||||||||
| Address2: | |||||||||
| City: | LANCASTER | ||||||||
| State: | TX | ||||||||
| PostalCode: | 751461442 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9722275110 | ||||||||
| FaxNumber: | 9722279189 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/29/2020 | ||||||||
| LastUpdateDate: | 11/29/2020 | ||||||||
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| AuthorizedOfficialLastName: | HOOPER | ||||||||
| AuthorizedOfficialFirstName: | GRADY | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 2543861950 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 11/29/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.