Healthcare Provider Details

I. General information

NPI: 1740309764
Provider Name (Legal Business Name): HUTCHINSON COUNTY HOSPITAL DISTRICT GOLDEN PLAINS COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 02/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MEDICAL DRIVE
BORGER TX
79007
US

IV. Provider business mailing address

100 MEDICAL DRIVE
BORGER TX
79007
US

V. Phone/Fax

Practice location:
  • Phone: 806-467-5616
  • Fax: 806-273-7940
Mailing address:
  • Phone: 806-467-5616
  • Fax: 806-273-7940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number117009
License Number StateTX

VIII. Authorized Official

Name: DINA KATHLEEN HERMES
Title or Position: CFO
Credential:
Phone: 806-467-5706