Provider Demographics
NPI:1467408369
Name:MCCAMEY COUNTY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:MCCAMEY COUNTY HOSPITAL DISTRICT
Other - Org Name:MCCAMEY CNTY HOSP DISTRICT-DME SUPPLIER
Other - Org Type:Other Name
Authorized Official - Title/Position:ELECTRONIC BILLING
Authorized Official - Prefix:MRS
Authorized Official - First Name:HENRIETTA
Authorized Official - Middle Name:E
Authorized Official - Last Name:WELCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-652-8626
Mailing Address - Street 1:PO BOX 1200
Mailing Address - Street 2:
Mailing Address - City:MC CAMEY
Mailing Address - State:TX
Mailing Address - Zip Code:79752-1200
Mailing Address - Country:US
Mailing Address - Phone:432-652-8626
Mailing Address - Fax:432-652-4008
Practice Address - Street 1:2500 S. HWY 305
Practice Address - Street 2:
Practice Address - City:MCCAMEY
Practice Address - State:TX
Practice Address - Zip Code:79752
Practice Address - Country:US
Practice Address - Phone:432-652-8626
Practice Address - Fax:432-652-4008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0804470001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0804470001OtherPALMETTO-DURABLE MEDICAL