Provider Demographics
NPI:1184618548
Name:HOPKINS COUNTY HOSPITAL DISTRICT
Entity type:Organization
Organization Name:HOPKINS COUNTY HOSPITAL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:GEIKEN
Authorized Official - Last Name:WALLACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-439-4052
Mailing Address - Street 1:PO BOX 275
Mailing Address - Street 2:
Mailing Address - City:SULPHUR SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75483-0275
Mailing Address - Country:US
Mailing Address - Phone:903-885-7671
Mailing Address - Fax:903-885-4579
Practice Address - Street 1:115 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:SULPHUR SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75482-2105
Practice Address - Country:US
Practice Address - Phone:903-885-7671
Practice Address - Fax:903-885-4579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-31
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7017901Medicaid
00C46COtherBLUE CROSS
TX131037704Medicaid
377065600OtherUS DEPT OF LABOR
TX131037702Medicaid
4172OtherSSI CLIENT #
HH0440OtherBLUE CROSS
HH0440OtherBLUE CROSS
00C46CMedicare ID - Type Unspecified