Provider Demographics
NPI:1568849750
Name:OLNEY-HAMILTON HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:OLNEY-HAMILTON HOSPITAL DISTRICT
Other - Org Name:COTTONWOOD CREEK HEALTHCARE COMMUNITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HUFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-564-5521
Mailing Address - Street 1:1111 W SHORE DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-4046
Mailing Address - Country:US
Mailing Address - Phone:972-783-8000
Mailing Address - Fax:972-783-4267
Practice Address - Street 1:1111 W SHORE DR
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-4046
Practice Address - Country:US
Practice Address - Phone:972-783-8000
Practice Address - Fax:972-783-4267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-27
Last Update Date:2021-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX138883314000000X
314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1026891Medicaid
TX0186Medicaid
TX001026891Medicaid