Healthcare Provider Details

I. General information

NPI: 1033364617
Provider Name (Legal Business Name): DAWSON COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2008
Last Update Date: 07/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 N BRYAN AVE
LAMESA TX
79331-2451
US

IV. Provider business mailing address

2200 N BRYAN AVE
LAMESA TX
79331-2451
US

V. Phone/Fax

Practice location:
  • Phone: 806-872-2183
  • Fax: 806-872-0823
Mailing address:
  • Phone: 806-872-2183
  • Fax: 806-872-0823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateTX

VIII. Authorized Official

Name: MS. LETHA JOY HUGHES
Title or Position: CEO
Credential:
Phone: 806-872-2183