Healthcare Provider Details

I. General information

NPI: 1639468473
Provider Name (Legal Business Name): OLNEY-HAMILTON HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2011
Last Update Date: 03/20/2021
Certification Date: 03/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 CHEYENNE DR
CARROLLTON TX
75010-2201
US

IV. Provider business mailing address

1855 CHEYENNE DR
CARROLLTON TX
75010-2201
US

V. Phone/Fax

Practice location:
  • Phone: 972-394-7141
  • Fax: 972-492-5534
Mailing address:
  • Phone: 972-394-7141
  • Fax: 972-492-5534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number131814
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL HUFF
Title or Position: CEO
Credential:
Phone: 940-564-5521