Healthcare Provider Details

I. General information

NPI: 1972072940
Provider Name (Legal Business Name): OCHD LOCAL GOVERNMENT CORPORATION NO. 1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2018
Last Update Date: 10/27/2022
Certification Date: 10/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3019 S MAIN ST
PERRYTON TX
79070-5357
US

IV. Provider business mailing address

3101 GARRETT DRIVE
PERRYTON TX
79070-5323
US

V. Phone/Fax

Practice location:
  • Phone: 806-435-3606
  • Fax: 806-435-3704
Mailing address:
  • Phone: 806-435-3606
  • Fax: 806-435-2813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TARA MCCARTNEY
Title or Position: ADMINISTRATIVE ASSISTANT
Credential:
Phone: 806-435-3606