Provider Demographics
NPI:1205878022
Name:ANGELINA COUNTY & CITIES HEALTH DISTRICT
Entity type:Organization
Organization Name:ANGELINA COUNTY & CITIES HEALTH DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-633-0602
Mailing Address - Street 1:503 HILL ST
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75904-2792
Mailing Address - Country:US
Mailing Address - Phone:936-632-2640
Mailing Address - Fax:936-632-2640
Practice Address - Street 1:503 HILL ST
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75904-2792
Practice Address - Country:US
Practice Address - Phone:936-632-2640
Practice Address - Fax:936-632-2640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00A32JMedicare ID - Type Unspecified