Healthcare Provider Details

I. General information

NPI: 1972588390
Provider Name (Legal Business Name): KIMBLE COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2005
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

349 REID RD
JUNCTION TX
76849-3049
US

IV. Provider business mailing address

349 REID RD
JUNCTION TX
76849-3049
US

V. Phone/Fax

Practice location:
  • Phone: 325-446-3321
  • Fax: 325-446-3769
Mailing address:
  • Phone: 325-446-3321
  • Fax: 325-446-3769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number000205
License Number StateTX

VIII. Authorized Official

Name: SUSAN PARKER
Title or Position: CEO
Credential:
Phone: 325-446-3321