Healthcare Provider Details

I. General information

NPI: 1962975011
Provider Name (Legal Business Name): TITUS COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2019
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 PECAN BLVD
PITTSBURG TX
75686-1816
US

IV. Provider business mailing address

123 PECAN BLVD
PITTSBURG TX
75686-1816
US

V. Phone/Fax

Practice location:
  • Phone: 903-856-3633
  • Fax: 903-856-6497
Mailing address:
  • Phone:
  • Fax:

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: EDDIE ANDREW FORTENBERRY
Title or Position: CFO
Credential:
Phone: 903-577-6050