- Enrollment id
- O20240403000368
- Enrollment state
- TX
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1659144772
- Multiple npi flag
- N
- Ccn
- 675902
- Associate id
- 5395199723
- Organization name
- WEST WHARTON COUNTY HOSPITAL DISTRICT
- Doing business as name
- AVIR AT PILOT POINT
- Incorporation date
- 2011-06-20
- Incorporation state
- TX
- Organization type structure
- GOVERNMENT
- Proprietary nonprofit
- N
- Nursing home provider name
- AVIR AT PILOT POINT
- Affiliation entity name
- AVIR HEALTH GROUP
- Affiliation entity id
- 719
- Address line 1
- 208 N PRAIRIE ST
- City
- PILOT POINT
- State
- TX
- Zip code
- 762584057