Healthcare Provider Details

I. General information

NPI: 1104842475
Provider Name (Legal Business Name): LOCKNEY GENERAL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 07/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 N MAIN
LOCKNEY TX
79241
US

IV. Provider business mailing address

320 N MAIN PO BOX 37
LOCKNEY TX
79241
US

V. Phone/Fax

Practice location:
  • Phone: 806-652-3373
  • Fax: 806-652-2417
Mailing address:
  • Phone: 806-652-3373
  • Fax: 806-652-2417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number000010
License Number StateTX

VIII. Authorized Official

Name: MR. LARRY MULLINS
Title or Position: ADMINISTRATOR
Credential:
Phone: 806-652-3373