Provider Demographics
NPI:1659327930
Name:HEMPHILL COUNTY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:HEMPHILL COUNTY HOSPITAL DISTRICT
Other - Org Name:MESA VIEW SENIOR LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-323-6422
Mailing Address - Street 1:106 TEAS CIRCLE
Mailing Address - Street 2:
Mailing Address - City:CANADIAN
Mailing Address - State:TX
Mailing Address - Zip Code:79014-3322
Mailing Address - Country:US
Mailing Address - Phone:806-323-6453
Mailing Address - Fax:806-323-6810
Practice Address - Street 1:106 TEAS CIRCLE
Practice Address - Street 2:
Practice Address - City:CANADIAN
Practice Address - State:TX
Practice Address - Zip Code:79014
Practice Address - Country:US
Practice Address - Phone:806-323-6453
Practice Address - Fax:806-323-6810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115375314000000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000443701Medicaid