# FANNIN COUNTY HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FANNIN COUNTY HOSPITAL AUTHORITY
- **Other names:** Red River Family Practice
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1184047599
- **Legal business name:** FANNIN COUNTY HOSPITAL AUTHORITY
- **Authorized official:** JAY J HODGES (CFO)
- **Authorized official phone:** (903) 640-7311

## Contact information

- **Practice address:** 2105 N CENTER ST, BONHAM, TX 75418-2627
- **Practice address phone:** (903) 449-4698
- **Mailing address:** PO BOX C, BONHAM, TX 75418-0180
- **Mailing address phone:** (903) 640-7311
- **Mailing address fax:** (903) 640-7601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/22/2014
- **Last updated:** 01/22/2014