Healthcare Provider Details

I. General information

NPI: 1407992654
Provider Name (Legal Business Name): CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 01/10/2023
Certification Date: 01/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

412 N DALTON ST
BARTLETT TX
76511
US

IV. Provider business mailing address

PO BOX 107
BARTLETT TX
76511-0107
US

V. Phone/Fax

Practice location:
  • Phone: 254-527-3371
  • Fax: 254-527-3173
Mailing address:
  • Phone: 254-527-3371
  • Fax: 254-527-3173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number676026
License Number StateTX

VIII. Authorized Official

Name: MR. ROBERT PASCASIO
Title or Position: CEO
Credential:
Phone: 409-267-3143