Organization
FANNIN COUNTY HOSPITAL AUTHORITY
Active
Other names
Canton Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAY HODGES (CFO)
(903) 583-8585
Entity
Organization
Contact information
Practice address
1661 S BUFFALO ST, CANTON, TX 75103-2619
(903) 567-4135
(903) 567-1077
Mailing address
504 LIPSCOMB ST, BONHAM, TX 75418-4028
(903) 583-8585
(903) 640-7601
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004836
FACILITY ID NO.
TX
Enumeration date
05/16/2006
Last updated
01/04/2015
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