Provider Demographics
NPI:1497302202
Name:SCURRY COUNTY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:SCURRY COUNTY HOSPITAL DISTRICT
Other - Org Name:COGDELL MEMORIAL HOSPITAL OUTPATIENT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:HELMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-573-6374
Mailing Address - Street 1:1700 COGDELL BLVD
Mailing Address - Street 2:ADMINISTRATION
Mailing Address - City:SNYDER
Mailing Address - State:TX
Mailing Address - Zip Code:79549
Mailing Address - Country:US
Mailing Address - Phone:325-574-7437
Mailing Address - Fax:
Practice Address - Street 1:1700 COGDELL BLVD
Practice Address - Street 2:
Practice Address - City:SNYDER
Practice Address - State:TX
Practice Address - Zip Code:79549-6162
Practice Address - Country:US
Practice Address - Phone:325-574-7423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SCURRY COUNTY HOSPITAL DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy