Provider Demographics
NPI:1508862921
Name:SABINE COUNTY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:SABINE COUNTY HOSPITAL DISTRICT
Other - Org Name:SABINE COUNTY HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:LATHROP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-787-3300
Mailing Address - Street 1:P O BOX 750
Mailing Address - Street 2:
Mailing Address - City:HEMPHILL
Mailing Address - State:TX
Mailing Address - Zip Code:75948
Mailing Address - Country:US
Mailing Address - Phone:409-787-3300
Mailing Address - Fax:409-787-1010
Practice Address - Street 1:2301 HWY 83 WEST
Practice Address - Street 2:
Practice Address - City:HEMPHILL
Practice Address - State:TX
Practice Address - Zip Code:75948
Practice Address - Country:US
Practice Address - Phone:409-787-3300
Practice Address - Fax:409-787-1010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-21
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207P00000X, 2085R0202X
TX000522282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes282N00000XHospitalsGeneral Acute Care Hospital
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00D925OtherBLUECROSSBLUE SHILELD DR
TX112715104Medicaid
TX45D0659755OtherCLIA
TXHH0748OtherBLUE CROSS BLUE SHIELD HO
TX0933870OtherCIGNA
TX112585801Medicaid
LA1744514Medicaid
TX112715102Medicaid
TX45D0659755OtherCLIA
TX112585801Medicaid
TX00D925Medicare PIN
TX0933870OtherCIGNA
TX00QW36Medicare PIN