Healthcare Provider Details

I. General information

NPI: 1508169509
Provider Name (Legal Business Name): LOCKNEY GENERAL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2010
Last Update Date: 12/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 W CROCKETT ST
FLOYDADA TX
79235-3609
US

IV. Provider business mailing address

PO BOX 37
LOCKNEY TX
79241-0037
US

V. Phone/Fax

Practice location:
  • Phone: 806-983-2875
  • Fax: 806-652-2417
Mailing address:
  • Phone: 806-652-3373
  • Fax: 806-652-2417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number StateTX

VIII. Authorized Official

Name: SHARON HUNT
Title or Position: ADMINISTRATOR
Credential:
Phone: 806-652-3373