# FANNIN COUNTY HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Village Healthcare and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528053238
- **Authorized official:** SOON BURNAM (AUTHORIZED AGENT/DELEGATED OFFICIAL)
- **Authorized official phone:** (949) 540-1249

## Contact information

- **Practice address:** 615 N WARE RD, MCALLEN, TX 78501-8057
- **Practice address phone:** (956) 664-8900
- **Practice address fax:** (956) 664-8906
- **Mailing address:** 615 N WARE RD, MCALLEN, TX 78501-8057
- **Mailing address phone:** (956) 664-8900
- **Mailing address fax:** (956) 664-8906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 004783 | TX | Yes |

## Other

- **Enumeration date:** 09/19/2005
- **Last updated:** 03/01/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001004258 | — | TX |