Healthcare Provider Details

I. General information

NPI: 1790236198
Provider Name (Legal Business Name): MIDLAND COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2016
Last Update Date: 03/01/2023
Certification Date: 03/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 SOUTH LOOP 250 WEST
MIDLAND TX
79703
US

IV. Provider business mailing address

801 S LOOP 250 W
MIDLAND TX
79703-2134
US

V. Phone/Fax

Practice location:
  • Phone: 432-689-2100
  • Fax: 972-303-9700
Mailing address:
  • Phone: 432-689-2100
  • Fax: 972-303-9700

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: STEPHEN BOWERMAN
Title or Position: CEO
Credential:
Phone: 432-221-4877