Healthcare Provider Details
I. General information
NPI: 1578048435
Provider Name (Legal Business Name): CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/26/2018
Last Update Date: 07/06/2024
Certification Date: 07/06/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
411 ALABAMA AVE
LEAGUE CITY TX
77573-2615
US
IV. Provider business mailing address
411 ALABAMA AVE
LEAGUE CITY TX
77573-2615
US
V. Phone/Fax
- Phone: 281-332-9588
- Fax: 281-316-2715
- Phone: 281-332-9588
- Fax: 281-316-2715
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:
ELIZABETH
ANN
NEWTON
Title or Position: CEO
Credential:
Phone: 409-267-3143