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Contact Information

COUNTY OF KENT
1443 NORTH MAIN STREET
JAYTON, TX79528-0086
 Phone: 806-237-3036
 Fax: 806-237-2090
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for COUNTY OF KENT

NPI Number 1477507374
LBN Legal business name COUNTY OF KENT
Authorized official JORDAN MOELLER - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/22/2006
Last updated 12/14/2021 - About 4 years ago
Identifiers
TX License # 111179
TX Medicaid 000420206
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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