Healthcare Provider Details

I. General information

NPI: 1760871750
Provider Name (Legal Business Name): CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2015
Last Update Date: 06/24/2024
Certification Date: 06/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6909 BURNET LN
AUSTIN TX
78757-2430
US

IV. Provider business mailing address

6909 BURNET LN
AUSTIN TX
78757-2430
US

V. Phone/Fax

Practice location:
  • Phone: 512-452-5719
  • Fax: 512-452-3675
Mailing address:
  • Phone: 512-452-5719
  • Fax: 512-452-3675

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ANN NEWTON
Title or Position: CEO
Credential:
Phone: 409-267-3143