Healthcare Provider Details

I. General information

NPI: 1710435383
Provider Name (Legal Business Name): CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2016
Last Update Date: 01/10/2023
Certification Date: 01/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 E CAROLINE ST
TRINITY TX
75862-7205
US

IV. Provider business mailing address

314 E CAROLINE ST
TRINITY TX
75862-7205
US

V. Phone/Fax

Practice location:
  • Phone: 281-339-7340
  • Fax:
Mailing address:
  • Phone: 936-744-1300
  • Fax: 936-744-0263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. ROBERT PASCASIO
Title or Position: CEO
Credential:
Phone: 409-267-3143