Healthcare Provider Details

I. General information

NPI: 1396330510
Provider Name (Legal Business Name): FANNIN COUNTY HOSPITAL AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2021
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 MOFFITT DR
CENTER TX
75935-8520
US

IV. Provider business mailing address

280 MOFFITT DR
CENTER TX
75935-8520
US

V. Phone/Fax

Practice location:
  • Phone: 936-598-3371
  • Fax:
Mailing address:
  • Phone: 936-598-3371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

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