Organization
LAVACA HOSPITAL DISTRICT
Active
Other names
Lavaca Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JACK S BOWEN (ADMINISTRATOR)
(361) 798-3671
Entity
Organization
Contact information
Practice address
1400 N TEXANA, HALLETTSVILLE, TX 77964-2021
(361) 798-3671
(361) 798-3128
Mailing address
1400 N TEXANA, HALLETTSVILLE, TX 77964-2021
(361) 798-3671
(361) 798-3128
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135233809
—
TX
Enumeration date
04/06/2006
Last updated
10/20/2020
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