# ANDREWS COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ANDREWS COUNTY HOSPITAL DISTRICT
- **Other names:** Permian Residential Care Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1811051964
- **Legal business name:** ANDREWS COUNTY HOSPITAL DISTRICT
- **Authorized official:** SUSAN FOURNIER (CFO)
- **Authorized official phone:** (432) 464-2107

## Contact information

- **Practice address:** 1601 NE MUSTANG DR, ANDREWS, TX 79714-3647
- **Practice address phone:** (432) 464-2430
- **Practice address fax:** (432) 464-2572
- **Mailing address:** 1601 NE MUSTANG DR, ANDREWS, TX 79714-3647
- **Mailing address phone:** (432) 464-2200
- **Mailing address fax:** (432) 464-2572

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 118750 | TX | Yes |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 07/31/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001004526 | — | TX |