Healthcare Provider Details

I. General information

NPI: 1750482055
Provider Name (Legal Business Name): ELECTRA HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 S BAILEY ST
ELECTRA TX
76360-2839
US

IV. Provider business mailing address

PO BOX 1112
ELECTRA TX
76360-1112
US

V. Phone/Fax

Practice location:
  • Phone: 940-495-4601
  • Fax: 940-495-3611
Mailing address:
  • Phone: 940-495-4601
  • Fax: 940-495-3611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number0037385
License Number StateTX

VIII. Authorized Official

Name: REBECCA MCCAIN
Title or Position: CEO
Credential:
Phone: 940-495-3981