1689655912 NPI number — NOCONA HOSPITAL DISTRICT

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689655912 NPI number — NOCONA HOSPITAL DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NOCONA HOSPITAL DISTRICT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
NOCONA GENERAL HOSPITAL
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689655912
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/21/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 PARK RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NOCONA
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76255-3616
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
940-825-3235
Provider Business Mailing Address Fax Number:
940-825-3604

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 PARK RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NOCONA
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76255-3616
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
940-825-3235
Provider Business Practice Location Address Fax Number:
940-825-3604
Provider Enumeration Date:
11/14/2005

Additional Information

Authorized Official

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

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  000348 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: HH0684 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 116240 . This is a "SUPERIOR HEALTH - CHIPS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 100702370A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6542090 . This is a "AETNA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 914144800 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1273104-04 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 127310402 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 127310406 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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