Healthcare Provider Details
I. General information
NPI: 1649508565
Provider Name (Legal Business Name): HOPKINS COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/04/2009
Last Update Date: 12/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1330 CHURCH ST
SULPHUR SPRINGS TX
75482-2161
US
IV. Provider business mailing address
115 AIRPORT RD
SULPHUR SPRINGS TX
75482-2105
US
V. Phone/Fax
- Phone: 903-885-2961
- Fax: 903-885-5309
- Phone: 903-885-2961
- Fax: 903-885-0052
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
DONNA
GEIKEN
WALLACE
Title or Position: CHIEF OPERATING FINANCIAL OFFICER
Credential:
Phone: 903-439-4052