Provider Demographics
NPI:1679880777
Name:RANKIN COUNTY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:RANKIN COUNTY HOSPITAL DISTRICT
Other - Org Name:RANKIN HOSPITAL ER PHYSICIAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-693-1206
Mailing Address - Street 1:PO BOX 327
Mailing Address - Street 2:
Mailing Address - City:RANKIN
Mailing Address - State:TX
Mailing Address - Zip Code:79778-0327
Mailing Address - Country:US
Mailing Address - Phone:432-693-2443
Mailing Address - Fax:432-693-2504
Practice Address - Street 1:1611 SPUR 576
Practice Address - Street 2:
Practice Address - City:RANKIN
Practice Address - State:TX
Practice Address - Zip Code:79778-2001
Practice Address - Country:US
Practice Address - Phone:432-693-1200
Practice Address - Fax:432-693-1296
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RANKIN COUNTY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-09-10
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty