MEDICARE: HANSFORD COUNTY 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		TX
2	314000000X	Skilled Nursing Facility	675853	TX
3	314000000X	Skilled Nursing Facility	4942	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518270370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANSFORD COUNTY HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	4403 74TH ST
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79424-2307
Country	:	US
Telephone Number	:	806-795-0668
Fax Number	:	806-795-4250

Provider Business Practice Location Address
First Line	:	4403 74TH ST
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79424-2307
Country	:	US
Telephone Number	:	806-795-0668
Fax Number	:	806-795-4250

Authorized Official
Title or Position	:	CEO
Name	:	JONATHAN BAILEY
Credential	:
Telephone Number	:	806-659-2535

Provider Enumeration Date	:	07/22/2010
Last Update Date	:	03/25/2025

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Directions to “HANSFORD COUNTY HOSPITAL DISTRICT ” Practice Location

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