Provider Demographics
NPI:1922660471
Name:CASTRO COUNTY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:CASTRO COUNTY HOSPITAL DISTRICT
Other - Org Name:COUNTRY VIEW LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOOD
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:068-647-2191
Mailing Address - Street 1:PO BOX 278
Mailing Address - Street 2:
Mailing Address - City:DIMMITT
Mailing Address - State:TX
Mailing Address - Zip Code:79027-0278
Mailing Address - Country:US
Mailing Address - Phone:806-647-2191
Mailing Address - Fax:
Practice Address - Street 1:701 BUTLER BLVD
Practice Address - Street 2:
Practice Address - City:DIMMITT
Practice Address - State:TX
Practice Address - Zip Code:79027-2720
Practice Address - Country:US
Practice Address - Phone:806-647-2984
Practice Address - Fax:806-647-2988
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CASTRO COUNTY HOSPITAL DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-05
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility