- Enrollment id
- O20170527000000
- Enrollment state
- TX
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1003860388
- Multiple npi flag
- N
- Ccn
- 676424
- Associate id
- 5395786180
- Organization name
- NOCONA HOSPITAL DISTRICT
- Doing business as name
- FARMERSVILLE HEALTH AND REHABILITATION
- Organization type structure
- GOVERNMENT
- Proprietary nonprofit
- N
- Nursing home provider name
- FARMERSVILLE HEALTH AND REHABILITATION
- Affiliation entity name
- FOURSQUARE HEALTHCARE
- Affiliation entity id
- 226
- Address line 1
- 205 BEECH ST
- City
- FARMERSVILLE
- State
- TX
- Zip code
- 754422703