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Organization
HANSFORD COUNTY HOSPITAL DISTRICT
Active
Organization
HANSFORD COUNTY HOSPITAL DISTRICT
Active
Other names
The Plaza at Lubbock
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BAILEY (AUTHORIZED OFFICER)
(806) 659-2535
Entity
Organization
Contact information
Practice address
4910 EMORY, LUBBOCK, TX 79416
(806) 740-0800
(806) 740-0803
Mailing address
1500 WATERS RIDGE DR, SUITE 200, LEWISVILLE, TX 75057-6011
(972) 899-4401
(972) 899-4460
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
117770
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001025410
—
TX
01
—
180855201
MEDICAID CO B
TX
Enumeration date
05/08/2006
Last updated
07/10/2015
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