Provider Demographics
NPI:1205050481
Name:PARMER COUNTY COMMUNITY HOSPITAL, INC.
Entity type:Organization
Organization Name:PARMER COUNTY COMMUNITY HOSPITAL, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:LANCE
Authorized Official - Last Name:GATLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-250-2754
Mailing Address - Street 1:1307 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:FRIONA
Mailing Address - State:TX
Mailing Address - Zip Code:79035-1121
Mailing Address - Country:US
Mailing Address - Phone:806-250-2754
Mailing Address - Fax:806-250-2031
Practice Address - Street 1:1307 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:FRIONA
Practice Address - State:TX
Practice Address - Zip Code:79035-1121
Practice Address - Country:US
Practice Address - Phone:806-250-2754
Practice Address - Fax:806-250-2031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000200284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX45Z300Medicare Oscar/Certification