Provider Demographics
NPI:1598082133
Name:HARDEMAN COUNTY MEMORIAL HOSP.
Entity Type:Organization
Organization Name:HARDEMAN COUNTY MEMORIAL HOSP.
Other - Org Name:DBA HARDEMAN COUNTY HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:LOREE
Authorized Official - Middle Name:
Authorized Official - Last Name:TAMAYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-326-6662
Mailing Address - Street 1:220 MERCER ST
Mailing Address - Street 2:
Mailing Address - City:QUANAH
Mailing Address - State:TX
Mailing Address - Zip Code:79252-4022
Mailing Address - Country:US
Mailing Address - Phone:940-663-6909
Mailing Address - Fax:940-663-5254
Practice Address - Street 1:220 MERCER ST
Practice Address - Street 2:
Practice Address - City:QUANAH
Practice Address - State:TX
Practice Address - Zip Code:79252-4022
Practice Address - Country:US
Practice Address - Phone:940-663-6909
Practice Address - Fax:940-663-5254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-21
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX003242251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based