Provider Demographics
NPI:1932517190
Name:NOCONA HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:NOCONA HOSPITAL DISTRICT
Other - Org Name:GRACE CARE CENTER OF NOCONA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEEKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-825-3235
Mailing Address - Street 1:306 CAROLYN RD
Mailing Address - Street 2:
Mailing Address - City:NOCONA
Mailing Address - State:TX
Mailing Address - Zip Code:76255-3105
Mailing Address - Country:US
Mailing Address - Phone:940-825-3288
Mailing Address - Fax:940-825-6153
Practice Address - Street 1:306 CAROLYN RD
Practice Address - Street 2:
Practice Address - City:NOCONA
Practice Address - State:TX
Practice Address - Zip Code:76255-3105
Practice Address - Country:US
Practice Address - Phone:940-825-3288
Practice Address - Fax:940-825-6153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-31
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX004817Medicaid
TX675554Medicare Oscar/Certification