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Contact Information

CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
1507 WEST MAIN STREET
GATESVILLE, TX76528
 Phone: 254-248-6380
 Fax: 254-865-8605
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

In Home Supportive Care

253Z00000X
 

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY

NPI Number 1679518542
LBN Legal business name CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Authorized official DAVID BYROM - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/17/2006
Last updated 06/12/2024 - More than a year ago
Identifiers
TX License # 001525
TX Medicaid KD4576680
TX Other 00063680 COMMUNITY BASED ALTERNATI
TX Other 000064100 PRIMARY HOME CARE VENDOR
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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