Healthcare Provider Details

I. General information

NPI: 1033289913
Provider Name (Legal Business Name): DONLEY COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 07/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 MEDICAL DR
CLARENDON TX
79226-6046
US

IV. Provider business mailing address

PO BOX 1240
CLARENDON TX
79226-1240
US

V. Phone/Fax

Practice location:
  • Phone: 806-874-2233
  • Fax: 806-874-2235
Mailing address:
  • Phone: 806-874-2233
  • Fax: 806-874-2235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number065001
License Number StateTX

VIII. Authorized Official

Name: ANNA L HOWARD
Title or Position: ADMINISTRATOR
Credential:
Phone: 806-874-2233