Provider Demographics
NPI:1972625093
Name:OLNEY HAMILTON HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:OLNEY HAMILTON HOSPITAL DISTRICT
Other - Org Name:HAMILTON HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:K
Authorized Official - Last Name:HARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-564-8115
Mailing Address - Street 1:PO BOX 158
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:TX
Mailing Address - Zip Code:76374-0158
Mailing Address - Country:US
Mailing Address - Phone:940-564-5521
Mailing Address - Fax:
Practice Address - Street 1:901 W HAMILTON ST
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:TX
Practice Address - Zip Code:76374-1725
Practice Address - Country:US
Practice Address - Phone:940-564-5521
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000294275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX45Z354Medicare Oscar/Certification