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NPI Code Detail

MEDICARE: SCOTT & WHITE MEMORIAL HOSPITAL

MEDICARE: SCOTT & WHITE MEMORIAL HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251F00000XHome Infusion Agency
2333600000XPharmacy
33336C0004XCompounding Pharmacy
43336H0001XHome Infusion Therapy Pharmacy
5332BP3500XParenteral & Enteral Nutrition Supplies (DME)

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
40841450001OTHERTXRR/MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2519136OTHERTXBLUE CROSS DME
3750421OTHERTXBLUE CROSS

General Provider Information

NPI Number : 1710942040
Entity Type Code : Organization
Provider Name (Legal Business Name) : SCOTT & WHITE MEMORIAL HOSPITAL
Provider Business Mailing Address
First Line : PO BOX 847789
Second Line :
City : DALLAS
State : TX
Zip : 75284-7789
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5701 AIRPORT RD # PODM164
Second Line :
City : TEMPLE
State : TX
Zip : 76502-7092
Country : US
Telephone Number : 254-724-2111
Fax Number :
Authorized Official
Title or Position : CFO
Name : CHRISTOPHER L OLSEN
Credential :
Telephone Number : 254-724-4556
Provider Enumeration Date : 04/19/2006
Last Update Date : 08/01/2024

Similar Medicare Providers

1669180154 — MR. MICHAEL ANTHONY JOHNSON SR. LCSW
Practice Location Address:
5701 AIRPORT RD STE L103
TEMPLE, TX
76502-7092
Practice Phone: 254-724-2585
Practice Fax:
1558869701 — RAYCHEL CHRISTINE YEARSLEY MS, LPC-INTERN
Practice Location Address:
5701 AIRPORT RD STE L103
TEMPLE, TX
76502-7092
Practice Phone: 254-724-2585
Practice Fax:
1346369402 — MR. JOHN ALLAN WEBB LPC
Practice Location Address:
5701 AIRPORT RD
TEMPLE, TX
76502-7092
Practice Phone: 254-724-2585
Practice Fax:
1558527788 — MS. LINDSEY REBECCA MILLER LCSW
Practice Location Address:
5701 AIRPORT RD STE L103
TEMPLE, TX
76502-7092
Practice Phone: 254-724-2585
Practice Fax: 254-724-1747
1558823682 — YANCEY W GRIMES LPC-INTERN
Practice Location Address:
5701 AIRPORT RD STE L103
TEMPLE, TX
76502-7092
Practice Phone: 254-724-2585
Practice Fax: 254-724-1747
1396397329 — LISA JEANECE PAIGE LCSW-S
Practice Location Address:
5701 AIRPORT RD STE L103
TEMPLE, TX
76502-7092
Practice Phone: 254-724-2585
Practice Fax:

Directions to “SCOTT & WHITE MEMORIAL HOSPITAL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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