=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386894434
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CRANE COUNTY HOSPITAL DISTRICT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/25/2008
-----------------------------------------------------
Last Update Date | 11/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1310 SOUTH ALFORD STREET
-----------------------------------------------------
City | CRANE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79731-3809
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 432-558-3555
-----------------------------------------------------
Fax | 432-558-1159
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1310 S ALFORD ST
-----------------------------------------------------
City | CRANE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79731-3809
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 432-558-3555
-----------------------------------------------------
Fax | 432-558-1159
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | LACI HARRIS
-----------------------------------------------------
Credential | MSN, MBA, RN
-----------------------------------------------------
Telephone | 432-558-3555
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207P00000X
-----------------------------------------------------
Taxonomy Name | Emergency Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------