Provider Demographics
NPI:1386950350
Name:CRANE COUNTY HOSPITAL DISTRICT
Entity type:Organization
Organization Name:CRANE COUNTY HOSPITAL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FRANKIE
Authorized Official - Middle Name:DIANNE
Authorized Official - Last Name:YEAGER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:432-558-3555
Mailing Address - Street 1:1310 S ALFORD ST
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 S ALFORD ST
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:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008726282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX45Z353Medicare Oscar/Certification