Healthcare Provider Details

I. General information

NPI: 1396287504
Provider Name (Legal Business Name): HUNT MEMORIAL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2016
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5242 MEDICAL DR
ROCKWALL TX
75032-5001
US

IV. Provider business mailing address

5242 MEDICAL DR
ROCKWALL TX
75032-5001
US

V. Phone/Fax

Practice location:
  • Phone: 972-772-8700
  • Fax: 972-772-8701
Mailing address:
  • Phone: 972-772-8700
  • Fax: 972-772-8701

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: STEVEN BOLES
Title or Position: CEO
Credential:
Phone: 903-408-1653