Provider Demographics
NPI:1811030315
Name:HARDEMAN COUNTY LIFELINE
Entity Type:Organization
Organization Name:HARDEMAN COUNTY LIFELINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ERS
Authorized Official - Prefix:MR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWNLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-663-2670
Mailing Address - Street 1:PO BOX 30
Mailing Address - Street 2:300 S MAIN ST.
Mailing Address - City:QUANAH
Mailing Address - State:TX
Mailing Address - Zip Code:79252-0030
Mailing Address - Country:US
Mailing Address - Phone:940-663-2670
Mailing Address - Fax:940-663-5392
Practice Address - Street 1:300 SOUTH MAIN
Practice Address - Street 2:2ND FLOOR COURTHOUSE
Practice Address - City:QUANAH
Practice Address - State:TX
Practice Address - Zip Code:79252
Practice Address - Country:US
Practice Address - Phone:940-663-2670
Practice Address - Fax:940-663-5392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherHARDEMAN COUNTY LIFELINE