Healthcare Provider Details

I. General information

NPI: 1497143044
Provider Name (Legal Business Name): HOPKINS COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2015
Last Update Date: 01/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1154 E HAWKINS PKWY
LONGVIEW TX
75605-7975
US

IV. Provider business mailing address

115 AIRPORT RD
SULPHUR SPRINGS TX
75482-2105
US

V. Phone/Fax

Practice location:
  • Phone: 903-663-2750
  • Fax: 903-663-2751
Mailing address:
  • Phone: 903-439-4052
  • Fax:

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: MICAHEL MCANDREW
Title or Position: CEO
Credential:
Phone: 903-439-4052