Healthcare Provider Details

I. General information

NPI: 1417051806
Provider Name (Legal Business Name): ELECTRA HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1207 S BAILEY ST
ELECTRA TX
76360-1112
US

IV. Provider business mailing address

PO BOX 1112 1207 S BAILEY ST
ELECTRA TX
76360-1112
US

V. Phone/Fax

Practice location:
  • Phone: 940-495-3981
  • Fax: 940-495-4137
Mailing address:
  • Phone: 940-495-3981
  • Fax: 940-495-4137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

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