Healthcare Provider Details

I. General information

NPI: 1255452710
Provider Name (Legal Business Name): FANNIN COUNTY HOSPITAL AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 01/16/2026
Certification Date: 01/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 E FITZGERALD ST
BANGS TX
76823-3232
US

IV. Provider business mailing address

1105 E FITZGERALD ST
BANGS TX
76823-3232
US

V. Phone/Fax

Practice location:
  • Phone: 325-752-6321
  • Fax:
Mailing address:
  • Phone: 325-752-6321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number146563
License Number StateTX

VIII. Authorized Official

Name: CLARK SANDERSON
Title or Position: BOARD PRESIDENT
Credential:
Phone: 903-583-1854