Provider Demographics
NPI:1619399128
Name:YOAKUM COMMUNITY HOSPITAL
Entity Type:Organization
Organization Name:YOAKUM COMMUNITY HOSPITAL
Other - Org Name:YOAKUM FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-293-2321
Mailing Address - Street 1:1200 CARL RAMERT DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:YOAKUM
Mailing Address - State:TX
Mailing Address - Zip Code:77995-4868
Mailing Address - Country:US
Mailing Address - Phone:361-293-7061
Mailing Address - Fax:361-293-7892
Practice Address - Street 1:1200 CARL RAMERT DR
Practice Address - Street 2:SUITE D
Practice Address - City:YOAKUM
Practice Address - State:TX
Practice Address - Zip Code:77995-4868
Practice Address - Country:US
Practice Address - Phone:361-293-7061
Practice Address - Fax:361-293-7892
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YOAKUM COMMUNITY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-01-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty