Provider Demographics
NPI:1649280876
Name:NORTH WHEELER COUNTY HOSPITAL DISTRICT
Entity type:Organization
Organization Name:NORTH WHEELER COUNTY HOSPITAL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIDD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-826-5581
Mailing Address - Street 1:PO BOX 1030
Mailing Address - Street 2:
Mailing Address - City:WHEELER
Mailing Address - State:TX
Mailing Address - Zip Code:79096-1030
Mailing Address - Country:US
Mailing Address - Phone:806-826-5581
Mailing Address - Fax:806-826-1396
Practice Address - Street 1:901 S. SWEETWATER STREET
Practice Address - Street 2:
Practice Address - City:WHEELER
Practice Address - State:TX
Practice Address - Zip Code:79096-1030
Practice Address - Country:US
Practice Address - Phone:806-826-1370
Practice Address - Fax:806-826-1396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2022-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX002472251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX121787901Medicaid
SC677604Medicare ID - Type UnspecifiedPROVIDER NUMBER