Provider Demographics
NPI:1518071224
Name:SCURRY COUNTY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:SCURRY COUNTY HOSPITAL DISTRICT
Other - Org Name:COGDELL HOME HEALTH AND HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELLA
Authorized Official - Middle Name:R
Authorized Official - Last Name:HELMS
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:325-574-7437
Mailing Address - Street 1:1700 COGDELL BLVD
Mailing Address - Street 2:
Mailing Address - City:SNYDER
Mailing Address - State:TX
Mailing Address - Zip Code:79549-6162
Mailing Address - Country:US
Mailing Address - Phone:325-574-7340
Mailing Address - Fax:325-573-1882
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:325-574-7340
Practice Address - Fax:325-573-1882
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SCURRY COUNTY HOSPITAL DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-18
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX001523251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX136330104Medicaid
TX457656Medicare Oscar/Certification
TX457656Medicare PIN