Pine Tree Lodge Nursing Center

LBN: Liberty County Hospital District No. 1
Pine Tree Lodge Nursing Center is an health care organization with primary practice located at 2711 Pine Tree Rd. , Longview TX 75604-1646. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Liberty County Hospital District No. 1 can be contacted via phone (903) 759-3994, or through Stratton, Charles Bruce via phone (936) 336-7422.

Contact Information

Primary practice address
2711 Pine Tree Rd. Longview TX 75604-1646
Phone: (903) 759-3994
Fax: (903) 759-1439
Website:
Map and Directions
Authorized official contact:
Name: Stratton, Charles Bruce
Phone: (936) 336-7422

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 111739 Texas

Profile Details

NPI number 1437117272
LBN Legal business name Liberty County Hospital District No. 1
DBA Doing business as Pine Tree Lodge Nursing Center
Authorized official Stratton, Charles Bruce
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2006
Last updated Feb 10th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437117272 NPPES
Texas MEDICAID 001004827
Texas Other 004989
Texas MEDICAID 165860101

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