WILBARGER COUNTY HOSPITAL DISTRICT NPI 1578688834

NPI Information

NPI: 1578688834
Provider Name: WILBARGER COUNTY HOSPITAL DISTRICT

Doing Business As: WILBARGER GENERAL HOSPITAL DIALYSIS OF VERNON

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 45D2006136

Address:
1000 GARLAND JOHNSTON DR
VERNON, TX
ZIP 76384
Phone: (940) 553-2960
Get Directions

WILBARGER COUNTY HOSPITAL DISTRICT is an end-stage renal disease (esrd) treatment clinic center in Vernon, TX. WILBARGER COUNTY HOSPITAL DISTRICT NPI is 1578688834. The provider is registered as an organization entity type.
The provider Is Doing Business As Wilbarger General Hospital Dialysis Of Vernon.

The provider's business location address is:

1000 GARLAND JOHNSTON DR
VERNON, TX
ZIP 76384-097
Phone: (940) 553-2960
Fax: (940) 553-2955

The provider's authorized official is Charles Tom Moore .
The authorized official title is Interim Ceo and has the following contact phone number (940) 552-9351.

The CLIA number assigned to this NPI record is 45D2006136 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 11/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	158653901	MEDICAID	TEXAS
2	015021	OTHER	TEXAS	KHC PROVIDER NUMBER
3	100703480A	MEDICAID	OKLAHOMA
4	HH0641	OTHER	TEXAS	BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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