# FANNIN COUNTY HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Peach Tree Place
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760503106
- **Authorized official:** JUDY ESPITIA (CFO)
- **Authorized official phone:** (432) 758-4945

## Contact information

- **Practice address:** 315 W ANDERSON ST, WEATHERFORD, TX 76086-5349
- **Practice address phone:** (817) 599-4181
- **Mailing address:** 5300 W SAM HOUSTON PKWY N, SUITE 100, HOUSTON, TX 77041-5161
- **Mailing address phone:** (832) 467-6000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | 117601 | TX | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 117601 | TX | — |
| 314000000X | Skilled Nursing Facility | 676148 | TX | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 03/07/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001026267 | — | TX |