Healthcare Provider Details
I. General information
NPI: 1497419287
Provider Name (Legal Business Name): CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/27/2021
Last Update Date: 01/10/2023
Certification Date: 01/10/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
355 FM 83 W
HEMPHILL TX
75948-8300
US
IV. Provider business mailing address
355 FM 83 W
HEMPHILL TX
75948-8300
US
V. Phone/Fax
- Phone: 409-787-5300
- Fax: 409-787-5398
- Phone: 409-787-5300
- Fax: 409-787-5398
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ROBERT
PASCASIO
Title or Position: CEO
Credential:
Phone: 409-267-3143