Healthcare Provider Details

I. General information

NPI: 1093131476
Provider Name (Legal Business Name): NACOGDOCHES COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2014
Last Update Date: 01/02/2024
Certification Date: 01/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 BELLAIRE ST
JACKSONVILLE TX
75766-9045
US

IV. Provider business mailing address

1018 N MOUND ST STE 105
NACOGDOCHES TX
75961-4434
US

V. Phone/Fax

Practice location:
  • Phone: 903-589-5300
  • Fax: 903-589-5335
Mailing address:
  • Phone: 936-221-5809
  • Fax: 936-569-4159

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: LYNN LINDSEY
Title or Position: ADMINISTRATOR
Credential:
Phone: 365-694-1679