Provider Demographics
NPI:1922418631
Name:NOCONA HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:NOCONA HOSPITAL DISTRICT
Other - Org Name:TRAYMORE NURSING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:LANCE
Authorized Official - Last Name:MEEKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-825-3235
Mailing Address - Street 1:4311 OAK LAWN AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-2315
Mailing Address - Country:US
Mailing Address - Phone:972-303-7500
Mailing Address - Fax:
Practice Address - Street 1:4315 HOPKINS AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75209-3026
Practice Address - Country:US
Practice Address - Phone:214-358-3131
Practice Address - Fax:214-358-0846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-02
Last Update Date:2017-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001025934Medicaid
TX675754Medicare Oscar/Certification