# PARKER COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** College Park Rehabilitation and Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679721344
- **Authorized official:** RANDY BACUS (CEO)
- **Authorized official phone:** (817) 341-2520

## Contact information

- **Practice address:** 1715 MARTIN DR, WEATHERFORD, TX 76086-6738
- **Practice address phone:** (817) 458-3100
- **Practice address fax:** (817) 458-3150
- **Mailing address:** 1130 PECAN DR, WEATHERFORD, TX 76086-5774
- **Mailing address phone:** (817) 341-2520
- **Mailing address fax:** (817) 458-3150

## Taxonomy

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

## Other

- **Enumeration date:** 09/05/2008
- **Last updated:** 12/28/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 103708 | FACILITY ID | TX |