FANNIN COUNTY HOSPITAL AUTHORITY (NPI# 1699705301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699705301 |
| Entity Type | Organization |
| Organization Name | FANNIN COUNTY HOSPITAL AUTHORITY |
| Other Organization Name | DBA TMC BONHAM HOSPITAL SWG |
| Practice Address |
504 Lipscomb Blvd Bonham TX 75418-4028 |
| Mailing Address |
504 Lipscomb Blvd. Bonham TX 75418-4028 |
| Practice Telephone | 9035838585 |
| Practice Fax Number | 9036407601 |
| Mailing Telephone | 9035838585 |
| Mailing Fax Number | 9036407601 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2016-04-04 |
| Authorized Official Name | HARLEY SMITH (CEO) |
| Authorized Official Telephone | 9036407310 |
| Is Organization Subpart | Y |
| Parent Organization Name | FANNIN COUNTY HOSPITAL AUTHORITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 100191 | TX | Hospital Units |
| Other Name | Type Code |
|---|---|
| dba TMC Bonham Hospital Swg | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619474293 | Fannin County Hospital Authority | Surgery | 1211 E 6th St Ste 120, Bonham, TX 75418 | 2018-04-10 |
| 1578911384 | Fannin County Hospital Authority | Skilled Nursing Facility | 16550 Retama Parkway, Selma, TX 78154 | 2016-06-02 |
| 1902163686 | Fannin County Hospital Authority | Skilled Nursing Facility | 2900 Stillhouse Rd, Paris, TX 75462-2029 | 2012-04-18 |
| 1316270267 | Fannin County Hospital Authority | Skilled Nursing Facility | 721 S Hwy 78, Wylie, TX 75098-4004 | 2009-09-10 |
| 1568695310 | Fannin County Hospital Authority | Preventive Medicine | 505 Lipscomb Blvd, Bonham, TX 75418-4027 | 2009-08-27 |
| 1649402603 | Fannin County Hospital Authority | Skilled Nursing Facility | 2265 S Sycamore St, Palestine, TX 75801-4774 | 2009-08-10 |
| 1710008263 | Fannin County Hospital Authority | Skilled Nursing Facility | 711 Lucas Dr, Athens, TX 75751-3445 | 2007-04-03 |
| 1770604365 | Fannin County Hospital Authority | Skilled Nursing Facility | 8383 Meadow Rd, Dallas, TX 75231-3701 | 2007-04-02 |
| 1801917497 | Fannin County Hospital Authority | Skilled Nursing Facility | 4825 Wellesley Ave, Fort Worth, TX 76107-6148 | 2007-04-02 |
| 1477674968 | Fannin County Hospital Authority | Skilled Nursing Facility | 2645 W Randol Mill Rd, Arlington, TX 76012-4228 | 2007-04-02 |
| Street Address |
504 LIPSCOMB BLVD |
| City | BONHAM |
| State | TX |
| Zip Code | 75418-4028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164619060 | Bois D'arc Emergency Physicians | Emergency Medicine | 504 Lipscomb Blvd, Bonham, TX 75418 | 2007-09-25 |
| 1508077207 | Attentus Bonham, Lp | General Acute Care Hospital | 504 Lipscomb Blvd, Bonham, TX 75418-4028 | 2007-05-24 |
| 1760417646 | Fannin County Hospital Authority | General Acute Care Hospital | 504 Lipscomb Blvd, Bonham, TX 75418-4028 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437795093 | Custom Dental of Bonham Pllc | Clinic/Center | 2016 State Highway 121 N, Bonham, TX 75418 | 2019-11-19 |
| 1205489283 | Sharon Maria Mathew | Pharmacist | 1201 E 93rd Street, Bonham, TX 75418 | 2019-07-19 |
| 1619474293 | Fannin County Hospital Authority | Surgery | 1211 E 6th St Ste 120, Bonham, TX 75418 | 2018-04-10 |
| 1629514203 | Tmc Bonham Hospital | General Acute Care Hospital | 504 Lispcomb Blvd, Bonham, TX 75418 | 2017-01-06 |
| 1992166227 | Strengthen Your Family Chiropractic, Pllc | Chiropractor | 2110 N Center St., Suite A, Bonham, TX 75418 | 2016-03-15 |
| 1841618626 | Faye Wright | Health Maintenance Organization | 3801 Silo Rd, Bonham, TX 75418 | 2014-03-31 |
| 1861658973 | Ppacta | Nursing Facility/Intermediate Care Facility | 712 County Road 4205, Bonham, TX 75418 | 2008-07-29 |
| 1033381322 | Shanida Roxana Blades | Social Worker | 1201 E 9th Street, Bonham, TX 75418 | 2008-03-27 |
| 1821275470 | Antonio Rafael Lopez-canino | Psychiatry & Neurology | 1201 East Ninth Street, North Texas Veterans Healthcare, Bonham, TX 75418 | 2008-01-25 |
| 1275745465 | Jagdish A. Shah,md | Internal Medicine | 1220 East 6th Street, Bonham, TX 75418 | 2007-05-03 |
| Find all providers in zip 75418 | ||||
| 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 |
| Find all providers with the same taxonomy | ||||
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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.