Provider Demographics
NPI:1073763439
Name:CRANE COUNTY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:CRANE COUNTY HOSPITAL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FRANKIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:YEAGER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:432-558-3555
Mailing Address - Street 1:1310 'A' S. ALFORD ST
Mailing Address - Street 2:
Mailing Address - City:CRANE
Mailing Address - State:TX
Mailing Address - Zip Code:79731-3801
Mailing Address - Country:US
Mailing Address - Phone:432-558-3555
Mailing Address - Fax:432-558-3443
Practice Address - Street 1:1310 'A' S. ALFORD ST
Practice Address - Street 2:
Practice Address - City:CRANE
Practice Address - State:TX
Practice Address - Zip Code:79731-3801
Practice Address - Country:US
Practice Address - Phone:432-558-3555
Practice Address - Fax:432-558-3443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008726261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX111551102Medicaid
TX111551103Medicaid
TX453423Medicare Oscar/Certification