Organization
HANSFORD COUNTY HOSPITAL DISTRICT
Active
Other names
The Plaza at Lubbock
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BAILEY (AUTHORIZED OFFICER)
(806) 659-2535
Entity
Organization
Contact information
Practice address
4910 EMORY, LUBBOCK, TX 79416
(806) 740-0800
(806) 740-0803
Mailing address
1500 WATERS RIDGE DR, SUITE 200, LEWISVILLE, TX 75057-6011
(972) 899-4401
(972) 899-4460
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
117770
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001025410
—
TX
01
—
180855201
MEDICAID CO B
TX
Enumeration date
05/08/2006
Last updated
07/10/2015
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