Provider Demographics
NPI:1386894434
Name:CRANE COUNTY HOSPITAL DISTRICT
Entity type:Organization
Organization Name:CRANE COUNTY HOSPITAL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FRANKIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:YEAGER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:432-558-3555
Mailing Address - Street 1:1310 SOUTH ALFORD STREET
Mailing Address - Street 2:
Mailing Address - City:CRANE
Mailing Address - State:TX
Mailing Address - Zip Code:79731-3809
Mailing Address - Country:US
Mailing Address - Phone:432-558-3555
Mailing Address - Fax:432-558-1159
Practice Address - Street 1:1310 SOUTH ALFORD STREET
Practice Address - Street 2:
Practice Address - City:CRANE
Practice Address - State:TX
Practice Address - Zip Code:79731-3809
Practice Address - Country:US
Practice Address - Phone:432-558-3555
Practice Address - Fax:432-558-1159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-25
Last Update Date:2013-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX206262201Medicaid
TX0A0257Medicare PIN