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NPI Code Detail

MEDICARE: EASTLAND MEMORIAL HOSPITAL DISTRICT

MEDICARE: EASTLAND MEMORIAL 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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1932742616
Entity Type Code : Organization
Provider Name (Legal Business Name) : EASTLAND MEMORIAL HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 1448 HOUSTON ST
Second Line :
City : WILLS POINT
State : TX
Zip : 75169-3120
Country : US
Telephone Number : 903-873-5400
Fax Number : 903-873-4404
Provider Business Practice Location Address
First Line : 1448 HOUSTON ST
Second Line :
City : WILLS POINT
State : TX
Zip : 75169-3120
Country : US
Telephone Number : 903-873-5400
Fax Number : 903-873-4404
Authorized Official
Title or Position : AUTHORIZED REPRESENTATIVE
Name : SOON BURNAM
Credential :
Telephone Number : 949-540-1249
Provider Enumeration Date : 10/24/2019
Last Update Date : 02/23/2021

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Directions to “EASTLAND MEMORIAL HOSPITAL DISTRICT ” Practice Location

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