Healthcare Provider Details

I. General information

NPI: 1801158787
Provider Name (Legal Business Name): OLNEY HAMILTON HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2012
Last Update Date: 06/15/2012
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: 940-564-2188
Mailing address:
  • Phone: 940-564-8196
  • Fax: 940-564-3606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

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