Provider Demographics
NPI:1275921959
Name:HANSFORD COUNTY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:HANSFORD COUNTY HOSPITAL DISTRICT
Other - Org Name:THE PLAZA AT LUBBOCK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-659-2535
Mailing Address - Street 1:707 ROLAND ST
Mailing Address - Street 2:
Mailing Address - City:SPEARMAN
Mailing Address - State:TX
Mailing Address - Zip Code:79081-3441
Mailing Address - Country:US
Mailing Address - Phone:806-659-2535
Mailing Address - Fax:806-659-5844
Practice Address - Street 1:4910 EMORY ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79416-3026
Practice Address - Country:US
Practice Address - Phone:806-740-0800
Practice Address - Fax:806-740-0803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-02
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX676105Medicare Oscar/Certification