Provider Demographics
NPI:1790174357
Name:NOCONA HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:NOCONA HOSPITAL DISTRICT
Other - Org Name:GREENVILLE GARDENS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEEKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-825-3235
Mailing Address - Street 1:3500 PARK ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75401-5159
Mailing Address - Country:US
Mailing Address - Phone:903-455-2220
Mailing Address - Fax:903-494-9123
Practice Address - Street 1:3500 PARK ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75401-5159
Practice Address - Country:US
Practice Address - Phone:903-455-2220
Practice Address - Fax:903-494-9123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-20
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX675367Medicare Oscar/Certification
TX004381Medicaid