Provider Demographics
NPI:1841288610
Name:HAMILTON HEALTHCARE CENTER
Entity type:Organization
Organization Name:HAMILTON HEALTHCARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LVN, MDS COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:HAMILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-386-8113
Mailing Address - Street 1:910 E PIERSON ST
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:TX
Mailing Address - Zip Code:76531-2358
Mailing Address - Country:US
Mailing Address - Phone:254-386-8113
Mailing Address - Fax:254-386-8832
Practice Address - Street 1:910 E PIERSON ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:TX
Practice Address - Zip Code:76531-2358
Practice Address - Country:US
Practice Address - Phone:254-386-8113
Practice Address - Fax:254-386-8832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110705314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX457079562C1Medicare ID - Type Unspecified