Provider Demographics
NPI:1689320376
Name:BOOKER HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:BOOKER HOSPITAL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOOVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-658-9786
Mailing Address - Street 1:7302 OAK MANOR DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4509
Mailing Address - Country:US
Mailing Address - Phone:210-344-8537
Mailing Address - Fax:210-344-4645
Practice Address - Street 1:7302 OAK MANOR DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4509
Practice Address - Country:US
Practice Address - Phone:210-344-8537
Practice Address - Fax:210-344-4645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility