MEDICARE: TITUS COUNTY HOSPITAL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1386401834
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TITUS COUNTY HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	2001 N JEFFERSON AVE
Second Line	:
City	:	MOUNT PLEASANT
State	:	TX
Zip	:	75455-2338
Country	:	US
Telephone Number	:	903-577-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 MOUNT PLEASANT RD
Second Line	:
City	:	BOGATA
State	:	TX
Zip	:	75417-2769
Country	:	US
Telephone Number	:	903-577-2273
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	PATTY DEAN BOECKMANN
Credential	:
Telephone Number	:	903-577-6059

Provider Enumeration Date	:	03/01/2024
Last Update Date	:	11/11/2025

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