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General NPI Number Information
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NPI Number | 1750388617
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Entity Type | Organization
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Legal Business Name | WEST WHARTON COUNTY HOSPITAL DISTRICT
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Dates
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Enumeration Date | 07/06/2005
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Last Update Date | 04/22/2022
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Provider Practice Location Address
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Address Line | 3001 W 4TH AVE
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City | CORSICANA
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State | TX
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Zip | 75110-3913
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Country | US
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Telephone | 903-872-2521
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Fax | 903-872-2559
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Provider Business Mailing Address
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Address Line | 3001 W 4TH AVE
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City | CORSICANA
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State | TX
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Zip | 75110-3913
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Country | US
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Telephone | 903-872-2521
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Fax | 903-872-2559
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Authorized Official
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Title or Position | CFO
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Name | DAVID H MAK
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Credential |
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Telephone | 713-569-7370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 111436
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License Number State | TX
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