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Organization
FANNIN COUNTY HOSPITAL AUTHORITY
Active
Organization
FANNIN COUNTY HOSPITAL AUTHORITY
Active
Other names
Canton Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAY HODGES (CFO)
(903) 583-8585
Entity
Organization
Contact information
Practice address
1661 S BUFFALO ST, CANTON, TX 75103-2619
(903) 567-4135
(903) 567-1077
Mailing address
504 LIPSCOMB ST, BONHAM, TX 75418-4028
(903) 583-8585
(903) 640-7601
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004836
FACILITY ID NO.
TX
Enumeration date
05/16/2006
Last updated
01/04/2015
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