Healthcare Provider Details

I. General information

NPI: 1285617597
Provider Name (Legal Business Name): MENARD COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2005
Last Update Date: 11/19/2021
Certification Date: 11/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 GAY STREET
MENARD TX
76859-0608
US

IV. Provider business mailing address

PO BOX 608
MENARD TX
76859-0608
US

V. Phone/Fax

Practice location:
  • Phone: 325-396-4515
  • Fax: 325-396-2731
Mailing address:
  • Phone: 325-396-4515
  • Fax: 325-396-2731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number110786
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: BOBBI HEYMAN COMPTON
Title or Position: MENARD MANOR ADMINISTRATOR
Credential: RN, LNFA
Phone: 325-396-4515