Healthcare Provider Details
I. General information
NPI: 1396732939
Provider Name (Legal Business Name): OLNEY-HAMILTON HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/29/2005
Last Update Date: 06/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
300 LOOP 11
WICHITA FALLS TX
76306-3705
US
IV. Provider business mailing address
300 LOOP 11
WICHITA FALLS TX
76306-3705
US
V. Phone/Fax
- Phone: 940-723-8420
- Fax: 940-723-2824
- Phone: 940-723-8420
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
MICHAEL
HUFF
Title or Position: CEO
Credential:
Phone: 940-564-5521