Healthcare Provider Details

I. General information

NPI: 1518032879
Provider Name (Legal Business Name): LOCKNEY GENERAL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 08/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 COMMERCE STREET
SILVERTON TX
79257
US

IV. Provider business mailing address

P.O. BOX 37
LOCKNEY TX
79241-0037
US

V. Phone/Fax

Practice location:
  • Phone: 806-652-3373
  • Fax: 806-652-2417
Mailing address:
  • Phone: 806-652-3373
  • Fax: 806-652-2417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JAMES HEITZENRATER
Title or Position: ADMINISTRATOR
Credential:
Phone: 806-652-3373