Organization Name: | DIMMIT REGIONAL HOSPITAL DISTRICT |
NPI Number: | 1285624676 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSE A LUNA (ADMINISTRATOR) |
Mailing Address: | 707 Hospital Drive Carrizo Springs |
State: | TX US |
Postal Code: | 78834 |
Phone Number: | 8308762424 |
Fax Number: | 8308763099 |
NPI Enumeration Date: | 10/26/2005 |
NPI Last Update Date: | 02/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 02/10/2011 |
NPI Reactivation Date: | 02/16/2011 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |