Organization
FANNIN COUNTY HOSPITAL AUTHORITY
Active
Other names
Red River Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JAY HODGES (CFO)
(903) 583-8585
Entity
Organization
Contact information
Practice address
504 LIPSCOMB ST, P. O. DRAWER C, BONHAM, TX 75418-4028
(903) 583-8585
(903) 640-7601
Mailing address
504 LIPSCOMB ST, P. O. DRAWER C, BONHAM, TX 75418-4028
(903) 583-8585
(903) 640-7601
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
008231
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C57T
BLUE CROSS BLUE SHIELD
TX
05
—
1108490-01
—
TX
Enumeration date
08/25/2006
Last updated
07/18/2013
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