Provider Demographics
NPI:1588137103
Name:NOCONA HOSPITAL DISTRICT
Entity type:Organization
Organization Name:NOCONA HOSPITAL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:LANCE
Authorized Official - Last Name:MEEKINS
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:
Practice Address - Street 1:108 E BOGGESS ST
Practice Address - Street 2:
Practice Address - City:SAINT JO
Practice Address - State:TX
Practice Address - Zip Code:76265-0238
Practice Address - Country:US
Practice Address - Phone:940-995-0238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-07
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX394903401Medicaid