Provider Demographics
NPI:1316931835
Name:WILBARGER COUNTY HOSPITAL DISTRICT
Entity type:Organization
Organization Name:WILBARGER COUNTY HOSPITAL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CNO
Authorized Official - Prefix:MS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAUCH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:940-553-2813
Mailing Address - Street 1:920 HILLCREST DR
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:TX
Mailing Address - Zip Code:76384-3132
Mailing Address - Country:US
Mailing Address - Phone:940-552-9351
Mailing Address - Fax:940-553-2934
Practice Address - Street 1:920 HILLCREST DR
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:TX
Practice Address - Zip Code:76384
Practice Address - Country:US
Practice Address - Phone:940-552-9351
Practice Address - Fax:940-553-2934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-12
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000084275N00000X, 282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX112707803Medicaid
TX112707803Medicaid
TX452374Medicare Oscar/Certification
TX45U584Medicare Oscar/Certification