Provider Demographics
NPI:1891828059
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:
Authorized Official - First Name:ELISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSIER
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
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?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX035619802Medicaid
TX8R5844OtherGREGORIO MATOS MD
TX136142012Medicaid
TX8M6444OtherDANIEL GRIFFIS MD
TX8404N1OtherSKYLAR BIZZELL MD
TX87M005OtherGARY HARDEE MD
TX130796903Medicaid
TX149387602Medicaid
TX00J24AOtherBCBS ER GROUP
TX00J24AOtherBCBS ER GROUP
TX8404N1OtherSKYLAR BIZZELL MD
TX8M6444OtherDANIEL GRIFFIS MD
TXI24124Medicare UPIN