Provider Demographics
NPI:1194893263
Name:BAYLOR COUNTY HOSPITAL DISTRICT
Entity type:Organization
Organization Name:BAYLOR COUNTY HOSPITAL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-889-5572
Mailing Address - Street 1:200 STADIUM DR
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:TX
Mailing Address - Zip Code:76380-2344
Mailing Address - Country:US
Mailing Address - Phone:940-889-5572
Mailing Address - Fax:940-889-3337
Practice Address - Street 1:200 STADIUM DR
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:TX
Practice Address - Zip Code:76380-2344
Practice Address - Country:US
Practice Address - Phone:940-889-5572
Practice Address - Fax:940-889-3337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QA1903X
TX000546282N00000X
282NC0060X, 282NR1301X, 341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No282N00000XHospitalsGeneral Acute Care Hospital
No282NR1301XHospitalsGeneral Acute Care HospitalRural
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX138353106Medicaid
TX138353107Medicaid
TX138353101Medicaid
TX138353103Medicaid
TXHH0107OtherBCBS
TX138353116Medicaid
TX450586Medicare PIN