ELECTRA HOSPITAL DISTRICT (NPI# 1811091903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811091903 |
Entity Type | Organization |
Organization Name | ELECTRA HOSPITAL DISTRICT |
Other Organization Name | ELECTRA MEMORIAL HOSPITAL SWING BED |
Practice Address |
1207 S Bailey St Electra TX 76360-3221 |
Mailing Address |
Po Box 1112 1207 S. Bailey St Electra TX 76360-1112 |
Practice Telephone | 9404953981 |
Practice Fax Number | 9404954137 |
Mailing Telephone | 9404953981 |
Mailing Fax Number | 9404954137 |
Enumeration Date | 2006-09-11 |
Last Update Date | 2010-11-18 |
Authorized Official Name | REBECCA MCCAIN (CFO) |
Authorized Official Telephone | 9404953981 |
Authorized Official Credential | MHA |
Is Organization Subpart | Y |
Parent Organization Name | ELECTRA HOSPITAL DISTRICT |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 135034006 | 05 | |
TX | BLUE CROSS SWING BED # | HH2219 | 01 |
Other Name | Type Code |
---|---|
Electra Memorial Hospital Swing Bed | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699867853 | Electra Hospital District | Pharmacy | 111 W Cleveland, Electra, TX 76360 | 2006-09-28 |
1750482055 | Electra Hospital District | Home Health | 111 W Cleveland Ave, Electra, TX 76360-2603 | 2006-09-26 |
1184639783 | Electra Hospital District | Durable Medical Equipment & Medical Supplies | 405 Se Access Rd Ste A, Iowa Park, TX 76367-6985 | 2006-07-30 |
1871583153 | Electra Hospital District | General Acute Care Hospital | 1207 S Bailey St, Electra, TX 76360-3221 | 2005-10-26 |
1417947706 | Electra Hospital District | Home Health | 113 W Cleveland Ave, Electra, TX 76360-2603 | 2005-10-26 |
1003439811 | Electra Hospital District | Clinic/Center | 1207 S Bailey St, Electra, TX 76360-3221 | 2020-05-27 |
1346805348 | Electra Hospital District | Clinic/Center | 310 W Alameda St, Iowa Park, TX 76367-1600 | 2019-05-06 |
1245649086 | Electra Hospital District | Pharmacy | 115 W Park Ave, Iowa Park, TX 76367-2806 | 2014-08-06 |
1467742254 | Electra Hospital District | Clinic/Center | 405 Se Access Rd, Iowa Park, TX 76367 | 2011-04-13 |
1922190107 | Electra Hospital District | Ambulance | 1207 S Bailey St, Electra, TX 76360-3221 | 2006-09-28 |
Street Address |
1207 S BAILEY ST |
City | ELECTRA |
State | TX |
Zip Code | 76360-3221 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871583153 | Electra Hospital District | General Acute Care Hospital | 1207 S Bailey St, Electra, TX 76360-3221 | 2005-10-26 |
1639783111 | Taylor Segler | Pharmacist | 1207 S Bailey St, Electra, TX 76360-3221 | 2020-09-02 |
1003439811 | Electra Hospital District | Clinic/Center | 1207 S Bailey St, Electra, TX 76360-3221 | 2020-05-27 |
1942846696 | David Jason Lee | Pharmacy | 1207 S Bailey St, Electra, TX 76360-3221 | 2019-11-18 |
1518328715 | Christine Reece | Nurse Practitioner | 1207 S Bailey St, Electra, TX 76360-3221 | 2016-03-15 |
1366856064 | Jessica Mersiovsky | Registered Nurse | 1207 S Bailey St, Electra, TX 76360 | 2014-06-20 |
1972852671 | Duron Cranford | Nurse Practitioner | 1207 S Bailey St, Electra, TX 76360-3221 | 2012-09-10 |
1922190107 | Electra Hospital District | Ambulance | 1207 S Bailey St, Electra, TX 76360-3221 | 2006-09-28 |
1417051806 | Electra Hospital District | Nurse Anesthetist, Certified Registered | 1207 S Bailey St, Electra, TX 76360-1112 | 2006-09-07 |
1326142712 | Electra Hospital District | Emergency Medicine | 1207 S Bailey St, Electra, TX 76360-1112 | 2006-09-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871972588 | Laura Teveni | Family Medicine | 1207 South Bailey St, Electra, TX 76360 | 2015-05-27 |
1699867853 | Electra Hospital District | Pharmacy | 111 W Cleveland, Electra, TX 76360 | 2006-09-28 |
1205042561 | James R. Mitchell | Dentist | 609 West Front Street, Electra, TX 76360-0506 | 2007-05-15 |
1306056890 | Electra Service Corporation | Home Delivered Meals | 503 W Michigan Ave, Electra, TX 76360-1818 | 2007-05-23 |
1588008338 | Electra Independent School District | Local Education Agency (LEA) | 621 N Waggoner St, Electra, TX 76360-1936 | 2013-04-23 |
1366677288 | Michelle Mae Levell | Massage Therapist | 221 W Roosevelt Ave, Electra, TX 76360-2437 | 2009-05-20 |
1750482055 | Electra Hospital District | Home Health | 111 W Cleveland Ave, Electra, TX 76360-2603 | 2006-09-26 |
1417947706 | Electra Hospital District | Home Health | 113 W Cleveland Ave, Electra, TX 76360-2603 | 2005-10-26 |
1104450501 | Edward Paul Pfeiffer | Pharmacist | 111 W Cleveland Ave, Electra, TX 76360-2603 | 2020-02-25 |
1003440629 | Chris Jolly | Pharmacist | 111 W Cleveland Ave, Electra, TX 76360-2603 | 2020-02-24 |
Find all providers in zip 76360 |
Taxonomy Code | 275N00000X |
Grouping | Hospital Units |
Classification | Medicare Defined Swing Bed Unit |
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
Notes: Source: Code of Federal Regulations #42, Section 482.66. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508214222 | Trinity Diagnostic Clinic, P.a | Medicare Defined Swing Bed Unit | 6324 Southern Hills Dr, Fort Worth, TX 76132-4485 | 2016-06-03 |
1710224647 | Caroline Chioma Ukachukwu | Medicare Defined Swing Bed Unit | 6565 Fannin St. Mgj. Suit 11, The Methodist Hospital, Mary Gibbs, Houston, TX 77030 | 2013-01-11 |
1023353752 | Eastland Memorial Hospital District | Medicare Defined Swing Bed Unit | 304 South Daugherty Street, Eastland, TX 76448 | 2012-12-06 |
1447574819 | Frio Hospital Association | Medicare Defined Swing Bed Unit | 200 S Ih 35, Pearsall, TX 78061-6601 | 2010-03-15 |
1952567588 | Preferred Hospital Leasing Junction, Inc | Medicare Defined Swing Bed Unit | 349 Reid Rd, Junction, TX 76849-3049 | 2008-08-04 |
1699939421 | Preferred Hospital Leasing Hemphill, Inc. | Medicare Defined Swing Bed Unit | 2301 State Highway 83w, Hemphill, TX 75948-0750 | 2008-07-10 |
1801087630 | Mitchell County Hospital District | Medicare Defined Swing Bed Unit | 997 West I-20, Colorado City, TX 79512 | 2007-08-07 |
1023138781 | Throckmorton County Memorial Hosp | Medicare Defined Swing Bed Unit | 802 N. Minter Ave., Throckmorton, TX 76483-5357 | 2007-03-29 |
1093839839 | Muenster Hospital District | Medicare Defined Swing Bed Unit | 605 N Maple, Muesnter, TX 76252-2424 | 2007-03-19 |
1841371739 | Jackson County Hospital District | Medicare Defined Swing Bed Unit | 1013 S Wells Street, Edna, TX 77957-4098 | 2006-10-18 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.