Provider Demographics
NPI:1326379330
Name:DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT
Other - Org Name:TEXLINE HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO AND HOSPITAL ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LOREE
Authorized Official - Middle Name:
Authorized Official - Last Name:TAMAYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-244-4571
Mailing Address - Street 1:PO BOX 177
Mailing Address - Street 2:
Mailing Address - City:TEXLINE
Mailing Address - State:TX
Mailing Address - Zip Code:79087-0177
Mailing Address - Country:US
Mailing Address - Phone:806-362-4651
Mailing Address - Fax:806-362-4627
Practice Address - Street 1:100 N 3RD
Practice Address - Street 2:
Practice Address - City:TEXLINE
Practice Address - State:TX
Practice Address - Zip Code:79087
Practice Address - Country:US
Practice Address - Phone:806-362-4651
Practice Address - Fax:806-362-4627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-15
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QR1300X
TXPA01505363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural HealthGroup - Single Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty