Healthcare Provider Details

I. General information

NPI: 1497712111
Provider Name (Legal Business Name): EASTLAND MEMORIAL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 10/29/2024
Certification Date: 10/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 W NASH ST
TERRELL TX
75160-2607
US

IV. Provider business mailing address

304 S DAUGHERTY ST
EASTLAND TX
76448-2609
US

V. Phone/Fax

Practice location:
  • Phone: 972-563-7668
  • Fax: 972-563-2769
Mailing address:
  • Phone: 254-631-5342
  • Fax: 254-629-8929

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number005158
License Number StateTX

VIII. Authorized Official

Name: LABAN JOSEPH WRIGHT
Title or Position: CEO
Credential:
Phone: 325-754-1317