ELECTRA HOSPITAL DISTRICT NPI 1417051806

NPI Information

NPI: 1417051806
Provider Name: ELECTRA HOSPITAL DISTRICT

Doing Business As: ELECTRA MEMORIAL HOSPITAL CRNA

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1207 S BAILEY ST
ELECTRA, TX
ZIP 76360
Phone: (940) 495-3981
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ELECTRA HOSPITAL DISTRICT is a family nurse practitioner in Electra, TX. ELECTRA HOSPITAL DISTRICT NPI is 1417051806. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Electra Memorial Hospital Crna.

The provider's business location address is:

1207 S BAILEY ST
ELECTRA, TX
ZIP 76360-112
Phone: (940) 495-3981
Fax: (940) 495-4137

The provider's authorized official is Rebecca Mccain .
The authorized official title is Cfo and has the following contact phone number (940) 495-3981.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 10/4/2012.

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	367500000X	Nurse Anesthetist, Certified Registered				No
2	363LF0000X	Nurse Practitioner	Family			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	HH0728	OTHER	TEXAS	BLUE CROSS
2	135034001	MEDICAID	TEXAS
3	00C39H	MEDICARE PIN	TEXAS

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: 4/28/2024

NPI Synchronization or Removal

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