Provider Demographics
NPI:1316109689
Name:DALLAM HARTLEY COUNTIES HOSPITAL DISTRICT
Entity type:Organization
Organization Name:DALLAM HARTLEY COUNTIES HOSPITAL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO AND HOSPITAL ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUNDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-244-9267
Mailing Address - Street 1:320 E TEXAS BLVD
Mailing Address - Street 2:
Mailing Address - City:DALHART
Mailing Address - State:TX
Mailing Address - Zip Code:79022-4300
Mailing Address - Country:US
Mailing Address - Phone:806-244-7791
Mailing Address - Fax:806-244-7792
Practice Address - Street 1:320 E TEXAS BLVD
Practice Address - Street 2:
Practice Address - City:DALHART
Practice Address - State:TX
Practice Address - Zip Code:79022-4300
Practice Address - Country:US
Practice Address - Phone:806-244-7791
Practice Address - Fax:806-244-7792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-27
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX121507261QX0100X
261QX0100X
TXJ2913261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine