Provider Demographics
NPI:1326445693
Name:NORTH WHEELER COUNTY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:NORTH WHEELER COUNTY HOSPITAL DISTRICT
Other - Org Name:PARKVIEW RURAL HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIDD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-826-5581
Mailing Address - Street 1:PO BOX 1030
Mailing Address - Street 2:
Mailing Address - City:WHEELER
Mailing Address - State:TX
Mailing Address - Zip Code:79096-1030
Mailing Address - Country:US
Mailing Address - Phone:806-826-5581
Mailing Address - Fax:806-826-3201
Practice Address - Street 1:307 EAST 9TH STREET
Practice Address - Street 2:
Practice Address - City:WHEELER
Practice Address - State:TX
Practice Address - Zip Code:79096-1030
Practice Address - Country:US
Practice Address - Phone:806-826-0180
Practice Address - Fax:806-826-0185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-02
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261Q00000X
261Q00000X, 261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX354117901Medicaid
673427Medicare UPIN