Booker Hospital District Dba/Twin Oaks Manor
Organization Active NPI Nursing Facility/Intermediate Care Facility · Booker, TX
NPI 1851476725 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1851476725
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- License
- 117103 (TX)
- Legal business name
- BOOKER HOSPITAL DISTRICT DBA/TWIN OAKS MANOR
- Practice address
- 112 Pioneer Drive
Booker, TX 79005-0369 - Phone
- (806) 658-9786
- Fax
- (806) 658-4836
- NPI assigned
- Oct 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Shawn Hoover
- Title
- Administrator
- Phone
- (806) 658-9786
Corporate family (same tax ID) 11
Practitioners 1
-
Ricky Allen Siewert, D.O
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0506490 | Twin Oaks Manor | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
- Tax ID family
- Teare Memorail Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 117103 | TX | Yes |
Addresses
Primary practice location
112 Pioneer Drive
Booker, TX 79005-0369
Mailing address
PO Box 369
Booker, TX 79005-0369
Phone (806) 658-9786
Other providers in Booker, TX
- Amy Merydith Dunn
- Booker Hospital District
- Booker Hospital District
- Booker Hospital District
- Booker Hospital District
- Booker Independent School District
- Tina Marie Brooks
- Lisa Brown
- Anna Ceniceros
- City of Booker Ambulance Service
All providers in Booker, TX · Nursing Facility/Intermediate Care Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.