MEDICARE: DALLAM-HARTLEY COUNTIES 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	314000000X	Skilled Nursing Facility	000262	TX
2	282NC0060X	Critical Access Hospital	000262	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00N39T	OTHER	TX	BCBS
2	103144100	OTHER		FIRST CARE HOSPITAL
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	00C62V	OTHER	TX	BCBS CRNA GROUP
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	130826407	OTHER		SUPERIOR HEALTH HOSP
7	HH0041	OTHER		BCBS
8	131941100	OTHER		FIRST CARE PROF FEES
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	130826401	OTHER		SUPERIOR PROF FEES
13	AMB527	OTHER		BCBS AMBULANCE

General Provider Information

NPI Number	:	1639176456
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 2014
Second Line	:
City	:	DALHART
State	:	TX
Zip	:	79022-6014
Country	:	US
Telephone Number	:	806-244-4571
Fax Number	:	806-244-5013

Provider Business Practice Location Address
First Line	:	1411 DENVER AVE
Second Line	:
City	:	DALHART
State	:	TX
Zip	:	79022
Country	:	US
Telephone Number	:	806-244-4571
Fax Number	:	806-244-5013

Authorized Official
Title or Position	:	CEO
Name	:	MS. MELISSA BUNDY
Credential	:
Telephone Number	:	806-244-9267

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	04/24/2025

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Directions to “DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT ” Practice Location

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