# HANSFORD COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Plaza at Lubbock
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063461994
- **Authorized official:** JONATHAN BAILEY (AUTHORIZED OFFICER)
- **Authorized official phone:** (806) 659-2535

## Contact information

- **Practice address:** 4910 EMORY, LUBBOCK, TX 79416
- **Practice address phone:** (806) 740-0800
- **Practice address fax:** (806) 740-0803
- **Mailing address:** 1500 WATERS RIDGE DR, SUITE 200, LEWISVILLE, TX 75057-6011
- **Mailing address phone:** (972) 899-4401
- **Mailing address fax:** (972) 899-4460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 117770 | TX | Yes |

## Other

- **Enumeration date:** 05/08/2006
- **Last updated:** 07/10/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001025410 | — | TX |
| 01 | — | 180855201 | MEDICAID CO B | TX |