MEDICARE: NOCONA 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	004413	OTHER	TX	FACILITY ID NO.

General Provider Information

NPI Number	:	1780618835
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOCONA HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	100 PARK RD
Second Line	:
City	:	NOCONA
State	:	TX
Zip	:	76255-3616
Country	:	US
Telephone Number	:	940-825-3235
Fax Number	:	940-825-7196

Provider Business Practice Location Address
First Line	:	406 E 7TH ST
Second Line	:
City	:	BURKBURNETT
State	:	TX
Zip	:	76354-2017
Country	:	US
Telephone Number	:	940-569-2236
Fax Number	:	940-569-0895

Authorized Official
Title or Position	:	CEO
Name	:	LANCE MEEKINS
Credential	:
Telephone Number	:	940-825-3235

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	08/26/2021

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Directions to “NOCONA HOSPITAL DISTRICT ” Practice Location

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