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NPI Code Detail

MEDICARE: FANNIN COUNTY HOSPITAL AUTHORITY

MEDICARE: FANNIN COUNTY HOSPITAL AUTHORITY
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
1314000000XSkilled Nursing Facility115998TX

Other Identifiers

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

General Provider Information

NPI Number : 1770604365
Entity Type Code : Organization
Provider Name (Legal Business Name) : FANNIN COUNTY HOSPITAL AUTHORITY
Provider Business Mailing Address
First Line : 8383 MEADOW RD
Second Line :
City : DALLAS
State : TX
Zip : 75231-3701
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8383 MEADOW RD
Second Line :
City : DALLAS
State : TX
Zip : 75231-3701
Country : US
Telephone Number : 214-239-6000
Fax Number :
Authorized Official
Title or Position : BOARD PRESIDENT
Name : CLARK SANDERSON
Credential :
Telephone Number : 903-583-1854
Provider Enumeration Date : 04/02/2007
Last Update Date : 09/16/2025

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Directions to “FANNIN COUNTY HOSPITAL AUTHORITY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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