Provider Demographics
NPI:1205222957
Name:PREFERRED HOSPITAL MANAGEMENT
Entity Type:Organization
Organization Name:PREFERRED HOSPITAL MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOSPITAL ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JARED
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-283-2760
Mailing Address - Street 1:PO BOX 609
Mailing Address - Street 2:
Mailing Address - City:VAN HORN
Mailing Address - State:TX
Mailing Address - Zip Code:79855-0609
Mailing Address - Country:US
Mailing Address - Phone:432-283-2760
Mailing Address - Fax:432-283-0019
Practice Address - Street 1:EISENHOWER RD & FM 2185
Practice Address - Street 2:
Practice Address - City:VAN HORN
Practice Address - State:TX
Practice Address - Zip Code:79855-0609
Practice Address - Country:US
Practice Address - Phone:432-283-2760
Practice Address - Fax:432-283-0019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-09
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP127863261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health