Provider Demographics
NPI:1518225077
Name:SOUTH WHEELER COUNTY HOSPITAL DISTRICT
Entity type:Organization
Organization Name:SOUTH WHEELER COUNTY HOSPITAL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AMBULANCE COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITTINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-256-5215
Mailing Address - Street 1:PO BOX 511
Mailing Address - Street 2:1000 S MAIN
Mailing Address - City:SHAMROCK
Mailing Address - State:TX
Mailing Address - Zip Code:79079-0511
Mailing Address - Country:US
Mailing Address - Phone:806-256-2114
Mailing Address - Fax:806-256-2423
Practice Address - Street 1:1000 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SHAMROCK
Practice Address - State:TX
Practice Address - Zip Code:79079-2820
Practice Address - Country:US
Practice Address - Phone:806-256-2114
Practice Address - Fax:806-256-2423
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTH WHEELER COUNTY HOSPITAL DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-05-02
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2420063416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport