Provider Demographics
NPI:1740698141
Name:SABINE COUNTY HOSPITAL DISTRICT
Entity type:Organization
Organization Name:SABINE COUNTY HOSPITAL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-787-2214
Mailing Address - Street 1:PO BOX 612026
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75261-2026
Mailing Address - Country:US
Mailing Address - Phone:877-602-2060
Mailing Address - Fax:903-887-1863
Practice Address - Street 1:244 OAK ST
Practice Address - Street 2:
Practice Address - City:HEMPHILL
Practice Address - State:TX
Practice Address - Zip Code:75948-6045
Practice Address - Country:US
Practice Address - Phone:409-787-2214
Practice Address - Fax:903-887-1863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-29
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1000931OtherLICENSE