Healthcare Provider Details

I. General information

NPI: 1134162472
Provider Name (Legal Business Name): HANSFORD COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 09/03/2021
Certification Date: 09/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 ROLAND ST
SPEARMAN TX
79081-3442
US

IV. Provider business mailing address

707 ROLAND ST
SPEARMAN TX
79081-3441
US

V. Phone/Fax

Practice location:
  • Phone: 806-659-2226
  • Fax: 806-659-5888
Mailing address:
  • Phone: 806-659-2226
  • Fax: 806-659-5888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number29934
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA WILKEISON
Title or Position: PHARMACIST
Credential:
Phone: 806-659-2226