Provider Demographics
NPI:1023013935
Name:MCCAMEY COUNTY HOSPITAL DISTRICT
Entity type:Organization
Organization Name:MCCAMEY COUNTY HOSPITAL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:J
Authorized Official - Last Name:MENEFEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-652-8626
Mailing Address - Street 1:PO BOX 1200
Mailing Address - Street 2:
Mailing Address - City:MC CAMEY
Mailing Address - State:TX
Mailing Address - Zip Code:79752-1200
Mailing Address - Country:US
Mailing Address - Phone:432-652-8626
Mailing Address - Fax:432-652-4008
Practice Address - Street 1:2500 S HWY 305
Practice Address - Street 2:
Practice Address - City:MCCAMEY
Practice Address - State:TX
Practice Address - Zip Code:79752
Practice Address - Country:US
Practice Address - Phone:432-652-8626
Practice Address - Fax:432-652-4008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-16
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QA1903X
TX451309282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX114779OtherSUPERIOR-HOSPITAL
TX094172602Medicaid
TXHH0677OtherBCBS HOSPITAL
TX104614100OtherFIRST CARE-HOSPITAL
TXHH2490OtherBCBS SWING BED
TX114779OtherSUPERIOR-HOSPITAL