# TITUS COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PINECREST NURSING & REHABILITATION CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972902245
- **Authorized official:** TERRY SCOGGIN (CFO)
- **Authorized official phone:** (903) 577-6066

## Contact information

- **Practice address:** 3505 OLD JACKSONVIL RD, TYLER, TX 75701-8510
- **Practice address phone:** (903) 561-2011
- **Practice address fax:** (903) 534-8335
- **Mailing address:** 3505 OLD JACKSONVIL RD, TYLER, TX 75701-8510
- **Mailing address phone:** (903) 561-2011
- **Mailing address fax:** (903) 534-8335

## Taxonomy

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

## Other

- **Enumeration date:** 08/22/2014
- **Last updated:** 08/22/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 005181 | — | TX |