Provider Demographics
NPI:1790236198
Name:MIDLAND COUNTY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:MIDLAND COUNTY HOSPITAL DISTRICT
Other - Org Name:ASHTON MEDICAL LODGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-221-4877
Mailing Address - Street 1:801 S LOOP 250 W
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79703-2134
Mailing Address - Country:US
Mailing Address - Phone:432-689-2100
Mailing Address - Fax:972-303-9700
Practice Address - Street 1:801 SOUTH LOOP 250 WEST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79703
Practice Address - Country:US
Practice Address - Phone:432-689-2100
Practice Address - Fax:972-303-9700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-20
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility