Provider Demographics
NPI:1053462887
Name:HAMLIN HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:HAMLIN HOSPITAL DISTRICT
Other - Org Name:HAMLIN MEMORIAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:LARGENT
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-576-3646
Mailing Address - Street 1:632 NW 2ND STREET
Mailing Address - Street 2:
Mailing Address - City:HAMLIN
Mailing Address - State:TX
Mailing Address - Zip Code:79520-0400
Mailing Address - Country:US
Mailing Address - Phone:325-576-3646
Mailing Address - Fax:325-576-3797
Practice Address - Street 1:632 NW 2ND STREET
Practice Address - Street 2:
Practice Address - City:HAMLIN
Practice Address - State:TX
Practice Address - Zip Code:79520-0400
Practice Address - Country:US
Practice Address - Phone:325-576-3646
Practice Address - Fax:325-576-3797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX094131202Medicaid