Provider Demographics
NPI:1639176456
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:MS
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:PO BOX 2014
Mailing Address - Street 2:
Mailing Address - City:DALHART
Mailing Address - State:TX
Mailing Address - Zip Code:79022-6014
Mailing Address - Country:US
Mailing Address - Phone:806-244-4571
Mailing Address - Fax:806-244-5013
Practice Address - Street 1:1411 DENVER AVE
Practice Address - Street 2:
Practice Address - City:DALHART
Practice Address - State:TX
Practice Address - Zip Code:79022
Practice Address - Country:US
Practice Address - Phone:806-244-4571
Practice Address - Fax:806-244-5013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000262314000000X, 282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00N39TOtherBCBS
103144100OtherFIRST CARE HOSPITAL
TX1308264-01Medicaid
TX00C62VOtherBCBS CRNA GROUP
TX1308264-07Medicaid
130826407OtherSUPERIOR HEALTH HOSP
HH0041OtherBCBS
131941100OtherFIRST CARE PROF FEES
TX0007577-01Medicaid
TX1308264-02Medicaid
TX1308264-04Medicaid
130826401OtherSUPERIOR PROF FEES
AMB527OtherBCBS AMBULANCE
HH0041OtherBCBS