Healthcare Provider Details

I. General information

NPI: 1013970862
Provider Name (Legal Business Name): PREFERRED HOSPITAL LEASING VAN HORN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EISENHOWER-FM 2185
VAN HORN TX
79855
US

IV. Provider business mailing address

PO BOX 609
VAN HORN TX
79855-0609
US

V. Phone/Fax

Practice location:
  • Phone: 432-283-2760
  • Fax: 443-228-3258
Mailing address:
  • Phone: 432-283-2760
  • Fax: 432-283-2581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number008172
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number055001
License Number StateTX

VIII. Authorized Official

Name: DONALD FREEMAN
Title or Position: PRESIDENT
Credential:
Phone: 405-878-0202