MEDICARE: TITUS COUNTY HOSPITAL DISTRICT

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	000137	TX

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HH0428	OTHER	TX	BLUE CROSS ACUTE HOSPITAL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1174526529
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TITUS COUNTY HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 511
Second Line	:
City	:	MOUNT PLEASANT
State	:	TX
Zip	:	75456-0511
Country	:	US
Telephone Number	:	903-434-8073
Fax Number	:	903-434-8076

Provider Business Practice Location Address
First Line	:	2001 N JEFFERSON AVE
Second Line	:
City	:	MT PLEASANT
State	:	TX
Zip	:	75455-2371
Country	:	US
Telephone Number	:	903-577-6000
Fax Number	:	903-577-6027

Authorized Official
Title or Position	:	CEO
Name	:	PATTY BOECKMANN
Credential	:
Telephone Number	:	903-577-6059

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	11/11/2025

2001 N JEFFERSON AVE , SUITE 204
MT PLEASANT, TX
75455-2371

Practice Phone: 903-577-7003
Practice Fax: 903-577-3933