Provider Demographics
NPI:1831192368
Name:NACOGDOCHES COUNTY HOSPITAL DISTRICT
Entity type:Organization
Organization Name:NACOGDOCHES COUNTY HOSPITAL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCABE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-568-8525
Mailing Address - Street 1:451 S EL CAMINO XING
Mailing Address - Street 2:
Mailing Address - City:SAN AUGUSTINE
Mailing Address - State:TX
Mailing Address - Zip Code:75972-1666
Mailing Address - Country:US
Mailing Address - Phone:936-275-2900
Mailing Address - Fax:
Practice Address - Street 1:451 S EL CAMINO XING
Practice Address - Street 2:
Practice Address - City:SAN AUGUSTINE
Practice Address - State:TX
Practice Address - Zip Code:75972-1666
Practice Address - Country:US
Practice Address - Phone:936-275-2900
Practice Address - Fax:936-275-1479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-30
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
314000000X
TX675729314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000519501Medicaid
TX675729Medicare Oscar/Certification