Healthcare Provider Details

I. General information

NPI: 1841995339
Provider Name (Legal Business Name): BAYLOR COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2023
Last Update Date: 05/18/2023
Certification Date: 05/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 BAGLEY RD
RUSK TX
75785-1930
US

IV. Provider business mailing address

330 BAGLEY RD
RUSK TX
75785-1930
US

V. Phone/Fax

Practice location:
  • Phone: 903-683-5438
  • Fax: 903-683-8418
Mailing address:
  • Phone: 903-683-5438
  • 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: LESLIE ANNE HARDIN
Title or Position: CEO
Credential:
Phone: 940-889-5572