Healthcare Provider Details

I. General information

NPI: 1780767236
Provider Name (Legal Business Name): DONLEY COUNTY RHC CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 03/15/2018
Certification Date:
Deactivation Date: 07/17/2007
Reactivation Date: 08/01/2007

III. Provider practice location address

ONE MEDICAL CENTER DRIVE POD K
CLARENDON TX
79226-0300
US

IV. Provider business mailing address

PO DRAWER K ONE MEDICAL CENTER DRIVE
CLARENDON TX
79226-0300
US

V. Phone/Fax

Practice location:
  • Phone: 806-874-3531
  • Fax: 806-874-2244
Mailing address:
  • Phone: 806-874-3531
  • Fax: 806-874-2244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateTX

VIII. Authorized Official

Name: LORI ANN HOWARD
Title or Position: ADMINISTRATOR
Credential:
Phone: 806-874-3531