# FANNIN COUNTY HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Canton Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114978780
- **Authorized official:** JAY HODGES (CFO)
- **Authorized official phone:** (903) 583-8585

## Contact information

- **Practice address:** 1661 S BUFFALO ST, CANTON, TX 75103-2619
- **Practice address phone:** (903) 567-4135
- **Practice address fax:** (903) 567-1077
- **Mailing address:** 504 LIPSCOMB ST, BONHAM, TX 75418-4028
- **Mailing address phone:** (903) 583-8585
- **Mailing address fax:** (903) 640-7601

## Taxonomy

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

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 01/04/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 004836 | FACILITY ID NO. | TX |