Provider Demographics
NPI:1972588390
Name:KIMBLE COUNTY HOSPITAL DISTRICT
Entity type:Organization
Organization Name:KIMBLE COUNTY HOSPITAL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-446-3321
Mailing Address - Street 1:349 REID RD
Mailing Address - Street 2:
Mailing Address - City:JUNCTION
Mailing Address - State:TX
Mailing Address - Zip Code:76849-3049
Mailing Address - Country:US
Mailing Address - Phone:325-446-3321
Mailing Address - Fax:325-446-3769
Practice Address - Street 1:349 REID RD
Practice Address - Street 2:
Practice Address - City:JUNCTION
Practice Address - State:TX
Practice Address - Zip Code:76849-3049
Practice Address - Country:US
Practice Address - Phone:325-446-3321
Practice Address - Fax:325-446-3769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-08
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000205282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX093723701Medicaid
TX131042703Medicaid
TX093723701Medicaid