SID PETERSON MEMORIAL HOSPITAL; NPI #1063584803

Contact Information

SID PETERSON MEMORIAL HOSPITAL

250 CULLY DRIVE
KERRVILLE, TX 78028

Phone: 830-258-7799
Fax: 830-258-7009
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for SID PETERSON MEMORIAL HOSPITAL

NPI Number 1063584803

LBN Legal business name SID PETERSON MEMORIAL HOSPITAL

Authorized official LISA MEDOVICH - (CHIEF FINANCIAL OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/15/2006

Last updated 07/27/2022 - About 4 years ago

Identifiers

Medicaid

1016019

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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SID PETERSON MEMORIAL HOSPITAL

Contact Information

Specialty

Hospice Care, Community Based

NPI Profile & details for SID PETERSON MEMORIAL HOSPITAL

Reviews for SID PETERSON MEMORIAL HOSPITAL