Healthcare Provider Details

I. General information

NPI: 1689084840
Provider Name (Legal Business Name): MCCULLOCH COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2014
Last Update Date: 05/07/2021
Certification Date: 05/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

699 W CAMPUS DR
CRANE TX
79731-2402
US

IV. Provider business mailing address

699 W CAMPUS DR
CRANE TX
79731-2402
US

V. Phone/Fax

Practice location:
  • Phone: 432-558-3400
  • Fax: 432-558-7577
Mailing address:
  • Phone: 432-558-3400
  • Fax: 432-558-7577

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: MR. TIMOTHY S JONES
Title or Position: CEO
Credential:
Phone: 325-597-2901