Healthcare Provider Details

I. General information

NPI: 1285045914
Provider Name (Legal Business Name): CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2014
Last Update Date: 01/10/2023
Certification Date: 01/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 N BYNUM ST
LUFKIN TX
75904-2707
US

IV. Provider business mailing address

300 N BYNUM ST
LUFKIN TX
75904-2707
US

V. Phone/Fax

Practice location:
  • Phone: 936-637-7215
  • Fax: 936-637-2368
Mailing address:
  • Phone: 936-637-7215
  • Fax: 936-637-2368

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: ROBERT PASCASIO
Title or Position: CEO
Credential:
Phone: 409-267-3143