Healthcare Provider Details

I. General information

NPI: 1972625093
Provider Name (Legal Business Name): OLNEY HAMILTON HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 03/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 W HAMILTON ST
OLNEY TX
76374-1725
US

IV. Provider business mailing address

PO BOX 158
OLNEY TX
76374-0158
US

V. Phone/Fax

Practice location:
  • Phone: 940-564-5521
  • Fax:
Mailing address:
  • Phone: 940-564-5521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number000294
License Number StateTX

VIII. Authorized Official

Name: MR. MICHAEL K HARE
Title or Position: ADMINISTRATOR
Credential:
Phone: 940-564-8115