Provider Demographics
NPI:1588810857
Name:COUNTY OF YOAKUM
Entity Type:Organization
Organization Name:COUNTY OF YOAKUM
Other - Org Name:YOAKUM COUNTY HOSPITAL ER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:COLLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLARTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-592-2121
Mailing Address - Street 1:412 MUSTANG AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER CITY
Mailing Address - State:TX
Mailing Address - Zip Code:79323-2750
Mailing Address - Country:US
Mailing Address - Phone:806-592-2121
Mailing Address - Fax:806-592-2891
Practice Address - Street 1:412 MUSTANG AVENUE
Practice Address - Street 2:
Practice Address - City:DENVER CITY
Practice Address - State:TX
Practice Address - Zip Code:79323-2750
Practice Address - Country:US
Practice Address - Phone:806-592-2121
Practice Address - Fax:806-592-2891
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF YOAKUM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-18
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX485207PE0004X, 282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Multi-Specialty
No282NC0060XHospitalsGeneral Acute Care HospitalCritical AccessGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00N52JOtherBCBS ER GROUP
TX116054OtherSUPERIOR
TX137150100OtherFIRSTCARE ER GROUP
TX137227802OtherMEDICAID ER GROUP