Provider Demographics
NPI:1528256864
Name:NOCONA HOSPITAL DISTRICT
Entity type:Organization
Organization Name:NOCONA HOSPITAL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:INSURANCE
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBBIE
Authorized Official - Middle Name:LOU
Authorized Official - Last Name:WEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-825-3235
Mailing Address - Street 1:100 PARK RD
Mailing Address - Street 2:
Mailing Address - City:NOCONA
Mailing Address - State:TX
Mailing Address - Zip Code:76255-3616
Mailing Address - Country:US
Mailing Address - Phone:940-825-3235
Mailing Address - Fax:940-825-3604
Practice Address - Street 1:100 PARK RD
Practice Address - Street 2:
Practice Address - City:NOCONA
Practice Address - State:TX
Practice Address - Zip Code:76255-3616
Practice Address - Country:US
Practice Address - Phone:940-825-3235
Practice Address - Fax:940-825-3604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX751368648261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========Medicaid