Provider Demographics
NPI:1184859043
Name:CRAIG RANCH HOSPITAL LLC
Entity Type:Organization
Organization Name:CRAIG RANCH HOSPITAL LLC
Other - Org Name:THE HOSPITAL AT CRAIG RANCH
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR/CNO
Authorized Official - Prefix:MR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-547-2799
Mailing Address - Street 1:8080 STATE HIGHWAY 121
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-2903
Mailing Address - Country:US
Mailing Address - Phone:214-547-2700
Mailing Address - Fax:214-547-2705
Practice Address - Street 1:6045 ALMA ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-2190
Practice Address - Country:US
Practice Address - Phone:214-547-2700
Practice Address - Fax:214-547-2705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-21
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPENDING282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital