Provider Demographics
NPI:1972758258
Name:YOAKUM COUNTY HOSPITAL
Entity type:Organization
Organization Name:YOAKUM COUNTY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:COLLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLARTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-592-2121
Mailing Address - Street 1:412 MUSTANG AVENUE
Mailing Address - Street 2:
Mailing Address - City:DENVER CITY
Mailing Address - State:TX
Mailing Address - Zip Code:79323-2750
Mailing Address - Country:US
Mailing Address - Phone:806-592-2121
Mailing Address - Fax:806-592-2891
Practice Address - Street 1:412 MUSTANG AVENUE
Practice Address - Street 2:
Practice Address - City:DENVER CITY
Practice Address - State:TX
Practice Address - Zip Code:79323-2750
Practice Address - Country:US
Practice Address - Phone:806-592-2121
Practice Address - Fax:806-592-4440
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YOAKUM COUNTY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-12-01
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX485282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access