=====================================================
General NPI Number Information
=====================================================
NPI Number | 1134137466
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OLNEY HAMILTON HOSPITAL DISTRICT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/03/2006
-----------------------------------------------------
Last Update Date | 10/06/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 901 W HAMILTON ST
-----------------------------------------------------
City | OLNEY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76374-1725
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 940-564-5521
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 158
-----------------------------------------------------
City | OLNEY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76374-0158
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 940-564-5521
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MR. MICHAEL HUFF
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 940-564-8111
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 282N00000X
-----------------------------------------------------
Taxonomy Name | General Acute Care Hospital
-----------------------------------------------------
License Number | 000294
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 282NC0060X
-----------------------------------------------------
Taxonomy Name | Critical Access Hospital
-----------------------------------------------------
License Number | 000294
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------