MEDICARE: OLNEY-HAMILTON HOSPITAL DISTRICT

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HH2902	OTHER	TX	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0758520001	OTHER	TX	PALMETTO

General Provider Information

NPI Number	:	1396732939
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OLNEY-HAMILTON HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	300 LOOP 11
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76306-3705
Country	:	US
Telephone Number	:	940-723-8420
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 LOOP 11
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76306-3705
Country	:	US
Telephone Number	:	940-723-8420
Fax Number	:	940-723-2824

Authorized Official
Title or Position	:	CEO
Name	:	MR. MICHAEL HUFF
Credential	:
Telephone Number	:	940-564-5521

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	06/05/2017

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