Provider Demographics
NPI:1871770222
Name:FISHER COUNTY HOSPITAL DISTRICT
Entity type:Organization
Organization Name:FISHER COUNTY HOSPITAL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINIC MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPENCER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-776-2500
Mailing Address - Street 1:PO BOX 66
Mailing Address - Street 2:
Mailing Address - City:ROBY
Mailing Address - State:TX
Mailing Address - Zip Code:79543-0066
Mailing Address - Country:US
Mailing Address - Phone:325-776-2500
Mailing Address - Fax:
Practice Address - Street 1:117 NORTH 1ST STREET
Practice Address - Street 2:
Practice Address - City:ROBY
Practice Address - State:TX
Practice Address - Zip Code:79543-0066
Practice Address - Country:US
Practice Address - Phone:325-776-2500
Practice Address - Fax:325-776-2355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXC5625261QA0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility