# FANNIN COUNTY HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ennis Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366963654
- **Authorized official:** CLARK SANDERSON (PRESIDENT)
- **Authorized official phone:** (903) 583-1854

## Contact information

- **Practice address:** 1200 S HALL ST, ENNIS, TX 75119-6318
- **Practice address phone:** (972) 875-9051
- **Mailing address:** 504 LIPSCOMB ST, BONHAM, TX 75418-4028
- **Mailing address phone:** (903) 583-8585

## Taxonomy

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

## Other

- **Enumeration date:** 06/28/2017
- **Last updated:** 07/17/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1029295 | — | TX |