Healthcare Provider Details

I. General information

NPI: 1659637494
Provider Name (Legal Business Name): OLNEY HAMILTON HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2012
Last Update Date: 04/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 S AVE M
OLNEY TX
76374-1644
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: 940-564-8196
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number252005
License Number StateTX

VIII. Authorized Official

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