Provider Demographics
NPI:1710025077
Name:CASTRO COUNTY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:CASTRO COUNTY HOSPITAL DISTRICT
Other - Org Name:PLAINS MEMORIAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-647-2191
Mailing Address - Street 1:310 W HALSELL ST
Mailing Address - Street 2:
Mailing Address - City:DIMMITT
Mailing Address - State:TX
Mailing Address - Zip Code:79027-1846
Mailing Address - Country:US
Mailing Address - Phone:806-647-2191
Mailing Address - Fax:806-647-2407
Practice Address - Street 1:310 W HALSELL ST
Practice Address - Street 2:
Practice Address - City:DIMMITT
Practice Address - State:TX
Practice Address - Zip Code:79027-1846
Practice Address - Country:US
Practice Address - Phone:806-647-2191
Practice Address - Fax:806-647-2407
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-01
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX136142011Medicaid