Healthcare Provider Details
I. General information
NPI: 1558000182
Provider Name (Legal Business Name): CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/01/2022
Last Update Date: 06/19/2024
Certification Date: 06/19/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1112 GIBBINS RD
ARLINGTON TX
76011-5618
US
IV. Provider business mailing address
1112 GIBBINS RD
ARLINGTON TX
76011-5618
US
V. Phone/Fax
- Phone: 817-274-2584
- Fax:
- Phone: 817-274-2584
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANN
NEWTON
Title or Position: CEO
Credential:
Phone: 409-267-3143