Provider Demographics
NPI:1770534059
Name:HUNT COUNTY
Entity type:Organization
Organization Name:HUNT COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSHING
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:903-455-4433
Mailing Address - Street 1:PO BOX 1097
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75403-1097
Mailing Address - Country:US
Mailing Address - Phone:903-455-4433
Mailing Address - Fax:903-455-4958
Practice Address - Street 1:4907 STONEWALL ST STE A
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75401-0003
Practice Address - Country:US
Practice Address - Phone:903-455-4433
Practice Address - Fax:903-455-4956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0920696-01Medicaid
TX0228090-01Medicaid
TX0920696-02Medicaid
TX0920696-02Medicaid