Healthcare Provider Details
I. General information
NPI: 1710395892
Provider Name (Legal Business Name): BAYLOR COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/01/2014
Last Update Date: 08/01/2023
Certification Date: 08/01/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2201 MENARD HWY
BRADY TX
76825-7432
US
IV. Provider business mailing address
2201 MENARD HWY
BRADY TX
76825-7432
US
V. Phone/Fax
- Phone: 325-597-2906
- Fax: 325-597-2555
- Phone: 325-597-2906
- Fax: 325-597-2555
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:
LESLIE
ANNE
HARDIN
Title or Position: CEO
Credential:
Phone: 940-889-5572