DALLAM HARTLEY COUNTIES HOSPITAL DISTRICT
Assisted Living Facility
Dalhart, Texas
Provider NPI: 1720093529
Organization Information:Organization Name: DALLAM HARTLEY COUNTIES HOSPITAL DISTRICT
Practice Location:
301 TEXAS BLVD DALHART, TX 79022 US
Tel: 806-244-8555 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
301 TEXAS BLVD DALHART, TX 79022 US
Tel: 806-244-8555 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | TX | 116889 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
001014203 | TX | 05 | |
STATE LICENSE | 116889 | TX | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin