Provider Demographics
NPI:1912963802
Name:CASTRO COUNTY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:CASTRO COUNTY HOSPITAL DISTRICT
Other - Org Name:PLAINS MEMORIAL HOSPITAL DME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:RASOR
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN CEO
Authorized Official - Phone:806-647-2191
Mailing Address - Street 1:PO BOX 278
Mailing Address - Street 2:310 W HALSELL
Mailing Address - City:DIMMIT
Mailing Address - State:TX
Mailing Address - Zip Code:79027
Mailing Address - Country:US
Mailing Address - Phone:806-647-2191
Mailing Address - Fax:806-647-2407
Practice Address - Street 1:112 W JONES
Practice Address - Street 2:
Practice Address - City:DIMMITT
Practice Address - State:TX
Practice Address - Zip Code:79027
Practice Address - Country:US
Practice Address - Phone:806-647-5105
Practice Address - Fax:806-647-2885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1361420003Medicaid
1209090001Medicare ID - Type Unspecified