Provider Demographics
NPI:1457426801
Name:BAYLOR COUNTY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:BAYLOR COUNTY HOSPITAL DISTRICT
Other - Org Name:SEYMOUR HOSPITAL HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-889-5572
Mailing Address - Street 1:600 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:TX
Mailing Address - Zip Code:76380-1730
Mailing Address - Country:US
Mailing Address - Phone:940-889-3755
Mailing Address - Fax:940-889-2715
Practice Address - Street 1:600 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:TX
Practice Address - Zip Code:76380-1730
Practice Address - Country:US
Practice Address - Phone:940-889-3755
Practice Address - Fax:940-889-2715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX002793251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX138353104Medicaid