MEDICARE: ELECTRA 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	251E00000X	Home Health Agency	001997	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HH9770	OTHER	TX	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417947706
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELECTRA HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	113 W CLEVELAND AVE
Second Line	:
City	:	ELECTRA
State	:	TX
Zip	:	76360-2603
Country	:	US
Telephone Number	:	940-495-2900
Fax Number	:	940-495-4137

Provider Business Practice Location Address
First Line	:	113 W CLEVELAND AVE
Second Line	:
City	:	ELECTRA
State	:	TX
Zip	:	76360-2603
Country	:	US
Telephone Number	:	940-495-2900
Fax Number	:	940-495-4137

Authorized Official
Title or Position	:	CEO
Name	:	REBECCA MCCAIN
Credential	:	MHA
Telephone Number	:	940-495-3981

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	03/17/2026

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Practice Location Address:

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1891783429 — ELECTRA HEALTH CARE CENTER
Practice Location Address:

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1871583153 — ELECTRA HOSPITAL DISTRICT
Practice Location Address:

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1316938426 — DR. THOMAS S DELIZIO MD
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Directions to “ELECTRA HOSPITAL DISTRICT ” Practice Location

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