Provider Demographics
NPI:1972684827
Name:NOCONA HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:NOCONA HOSPITAL DISTRICT
Other - Org Name:NOCONA GENERAL HOSPITAL E D PHYS GRP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEEKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-825-3235
Mailing Address - Street 1:100 PARK RD
Mailing Address - Street 2:
Mailing Address - City:NOCONA
Mailing Address - State:TX
Mailing Address - Zip Code:76255-3616
Mailing Address - Country:US
Mailing Address - Phone:940-825-3235
Mailing Address - Fax:940-825-3604
Practice Address - Street 1:100 PARK RD
Practice Address - Street 2:
Practice Address - City:NOCONA
Practice Address - State:TX
Practice Address - Zip Code:76255-3616
Practice Address - Country:US
Practice Address - Phone:940-825-3235
Practice Address - Fax:940-825-3604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000348207L00000X, 207P00000X
TX348282NR1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00777TOtherBCBS ER PHYS GRP
TX1273104-07Medicaid
TX127310408Medicaid
8350B7Medicare PIN
TX127310408Medicaid
8349B7Medicare PIN
080069651Medicare PIN
00777TOtherBCBS ER PHYS GRP
080082001Medicare PIN