Provider Demographics
NPI:1184738080
Name:DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT
Entity type:Organization
Organization Name:DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUNDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-244-9267
Mailing Address - Street 1:210 E TEXAS BLVD
Mailing Address - Street 2:
Mailing Address - City:DALHART
Mailing Address - State:TX
Mailing Address - Zip Code:79022-4322
Mailing Address - Country:US
Mailing Address - Phone:806-244-8738
Mailing Address - Fax:806-244-6604
Practice Address - Street 1:210 E TEXAS BLVD
Practice Address - Street 2:
Practice Address - City:DALHART
Practice Address - State:TX
Practice Address - Zip Code:79022
Practice Address - Country:US
Practice Address - Phone:806-244-8738
Practice Address - Fax:806-244-6604
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-18
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX005693251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001014203Medicaid
TX001014203Medicaid
TX671531Medicare ID - Type UnspecifiedMEDICARE HOSPICE