Organization
COUNTY OF THROCKMORTON
Active
Other names
Haskell Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
KIRBY GOBER (CEO)
(940) 849-2141
Entity
Organization
Contact information
Practice address
1504 N 1ST ST, HASKELL, TX 79521-5438
(940) 864-8537
(940) 864-8040
Mailing address
802 N MINTER AVE, THROCKMORTON, TX 76483-5357
(940) 849-2141
(940) 849-7141
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001026130
—
TX
01
—
004626
FACILITY ID
TX
Enumeration date
10/10/2005
Last updated
10/08/2014
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