Provider Demographics
NPI:1336537661
Name:MOORE COUNTY HOSPITAL DISTRICT
Entity type:Organization
Organization Name:MOORE COUNTY HOSPITAL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-935-7171
Mailing Address - Street 1:110 S BLISS AVE
Mailing Address - Street 2:
Mailing Address - City:DUMAS
Mailing Address - State:TX
Mailing Address - Zip Code:79029-3804
Mailing Address - Country:US
Mailing Address - Phone:806-935-1900
Mailing Address - Fax:806-934-3343
Practice Address - Street 1:110 S BLISS AVE
Practice Address - Street 2:
Practice Address - City:DUMAS
Practice Address - State:TX
Practice Address - Zip Code:79029-3804
Practice Address - Country:US
Practice Address - Phone:806-935-1900
Practice Address - Fax:806-934-3343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-09
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX331607703OtherCSHCN
TX331607702OtherTHSTEPS
TX331607701Medicaid
TX673411Medicare Oscar/Certification