Healthcare Provider Details

I. General information

NPI: 1619968054
Provider Name (Legal Business Name): COUNTY OF YOAKUM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2005
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 ST HWY 214
PLAINS TX
79355-0936
US

IV. Provider business mailing address

PO BOX 936
PLAINS TX
79355-0936
US

V. Phone/Fax

Practice location:
  • Phone: 806-456-6365
  • Fax: 806-456-2057
Mailing address:
  • Phone: 806-456-6365
  • Fax: 806-456-2057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number458810
License Number StateTX

VIII. Authorized Official

Name: SUANN PARRISH
Title or Position: INTERIM CEO, CFO
Credential:
Phone: 806-639-8254