Provider Demographics
NPI:1700044088
Name:HUNT MEMORIAL HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:HUNT MEMORIAL HOSPITAL DISTRICT
Other - Org Name:HUNT REGIONAL HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HOSPITAL CONTRACT AND CREDENTIALING
Authorized Official - Prefix:MS
Authorized Official - First Name:CECELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALENTINE
Authorized Official - Suffix:
Authorized Official - Credentials:CRCS-I
Authorized Official - Phone:903-408-5000
Mailing Address - Street 1:4215 JOE RAMSEY BLVD
Mailing Address - Street 2:PO DRAWER 1059
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75403-1059
Mailing Address - Country:US
Mailing Address - Phone:903-408-1881
Mailing Address - Fax:903-408-5082
Practice Address - Street 1:4215 JOE RAMSEY BLVD E
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75401-7852
Practice Address - Country:US
Practice Address - Phone:903-408-1881
Practice Address - Fax:903-408-5082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-23
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
45T352Medicare Oscar/Certification