Provider Demographics
NPI:1316197767
Name:CRANE COUNTY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:CRANE COUNTY HOSPITAL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position: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 S ALFORD ST
Mailing Address - Street 2:
Mailing Address - City:CRANE
Mailing Address - State:TX
Mailing Address - Zip Code:79731-3899
Mailing Address - Country:US
Mailing Address - Phone:432-558-3555
Mailing Address - Fax:432-558-1159
Practice Address - Street 1:1310 S ALFORD ST
Practice Address - Street 2:
Practice Address - City:CRANE
Practice Address - State:TX
Practice Address - Zip Code:79731-3899
Practice Address - Country:US
Practice Address - Phone:432-558-3555
Practice Address - Fax:432-558-1159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008726282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX451353Medicare Oscar/Certification