Provider Demographics
NPI:1912349598
Name:CULBERSON HOSPITAL
Entity type:Organization
Organization Name:CULBERSON HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JARED
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:432-283-2760
Mailing Address - Street 1:EISENHOWER AND FM 2185
Mailing Address - Street 2:
Mailing Address - City:VAN HORN
Mailing Address - State:TX
Mailing Address - Zip Code:79855
Mailing Address - Country:US
Mailing Address - Phone:432-283-2760
Mailing Address - Fax:432-283-2581
Practice Address - Street 1:EISENHOWER AND FM 2185
Practice Address - Street 2:
Practice Address - City:VAN HORN
Practice Address - State:TX
Practice Address - Zip Code:79855
Practice Address - Country:US
Practice Address - Phone:432-283-2760
Practice Address - Fax:432-283-2581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-23
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA08533282NR1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural