Provider Demographics
NPI:1851476725
Name:BOOKER HOSPITAL DISTRICT DBA/TWIN OAKS MANOR
Entity Type:Organization
Organization Name:BOOKER HOSPITAL DISTRICT DBA/TWIN OAKS MANOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOOVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-658-9786
Mailing Address - Street 1:PO BOX 369
Mailing Address - Street 2:
Mailing Address - City:BOOKER
Mailing Address - State:TX
Mailing Address - Zip Code:79005-0369
Mailing Address - Country:US
Mailing Address - Phone:806-658-9786
Mailing Address - Fax:806-658-4836
Practice Address - Street 1:112 PIONEER DRIVE
Practice Address - Street 2:
Practice Address - City:BOOKER
Practice Address - State:TX
Practice Address - Zip Code:79005-0369
Practice Address - Country:US
Practice Address - Phone:806-658-9786
Practice Address - Fax:806-658-4836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117103313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility