Healthcare Provider Details

I. General information

NPI: 1265842694
Provider Name (Legal Business Name): HOPKINS COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2014
Last Update Date: 05/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 AIRPORT RD
SULPHUR SPRINGS TX
75482-2105
US

IV. Provider business mailing address

115 AIRPORT RD
SULPHUR SPRINGS TX
75482-2105
US

V. Phone/Fax

Practice location:
  • Phone: 903-885-7671
  • Fax: 903-885-4579
Mailing address:
  • Phone: 903-885-7671
  • Fax: 903-885-4579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: DONNA GEIKEN WALLACE
Title or Position: COO/CFO
Credential:
Phone: 903-439-4052