Provider Demographics
NPI:1518077817
Name:NOCONA HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:NOCONA HOSPITAL DISTRICT
Other - Org Name:NOCONA GENERAL HOSPITAL HOME AND COMMUNITY SUPPORT SERVICE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEEKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-825-3235
Mailing Address - Street 1:507 CROXTON ST
Mailing Address - Street 2:
Mailing Address - City:NOCONA
Mailing Address - State:TX
Mailing Address - Zip Code:76255-3113
Mailing Address - Country:US
Mailing Address - Phone:940-825-6818
Mailing Address - Fax:940-825-4314
Practice Address - Street 1:507 CROXTON ST
Practice Address - Street 2:
Practice Address - City:NOCONA
Practice Address - State:TX
Practice Address - Zip Code:76255-3113
Practice Address - Country:US
Practice Address - Phone:940-825-6816
Practice Address - Fax:940-825-4314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX002171251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHH9895OtherBLUE CROSS BLUE SHIELD
TXHH9895OtherBLUE CROSS BLUE SHIELD