Healthcare Provider Details

I. General information

NPI: 1275921959
Provider Name (Legal Business Name): HANSFORD COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2015
Last Update Date: 01/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4910 EMORY ST
LUBBOCK TX
79416-3026
US

IV. Provider business mailing address

707 ROLAND ST
SPEARMAN TX
79081-3441
US

V. Phone/Fax

Practice location:
  • Phone: 806-740-0800
  • Fax: 806-740-0803
Mailing address:
  • Phone: 806-659-2535
  • Fax: 806-659-5844

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