=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932223765
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LYNN COUNTY HOSPITAL DISTRICT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/19/2007
-----------------------------------------------------
Last Update Date | 10/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2600 LOCKWOOD ST
-----------------------------------------------------
City | TAHOKA
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79373-4118
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 806-998-4533
-----------------------------------------------------
Fax | 806-561-4049
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 1310
-----------------------------------------------------
City | TAHOKA
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79373-1310
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 806-998-4533
-----------------------------------------------------
Fax | 806-561-4049
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CREDENTIALING MANAGER
-----------------------------------------------------
Name | DARMA ENGLE
-----------------------------------------------------
Credential | CREDENTIALING MGR
-----------------------------------------------------
Telephone | 806-998-4533
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QE0002X
-----------------------------------------------------
Taxonomy Name | Emergency Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------