Healthcare Provider Details

I. General information

NPI: 1053624817
Provider Name (Legal Business Name): HANSFORD COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2010
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 QUAKER AVE
LUBBOCK TX
79410-1834
US

IV. Provider business mailing address

2400 QUAKER AVE
LUBBOCK TX
79410-1834
US

V. Phone/Fax

Practice location:
  • Phone: 806-792-2831
  • Fax: 806-792-5023
Mailing address:
  • Phone: 806-792-2831
  • Fax: 806-792-5023

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: JONATHAN BAILEY
Title or Position: CEO
Credential:
Phone: 806-659-2535