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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
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center008566TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HH6140OTHERTXBLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942266333
Entity Type Code : Organization
Provider Name (Legal Business Name) : SCOTT & WHITE MEMORIAL HOSPITAL
Provider Business Mailing Address
First Line : PO BOX 847790
Second Line :
City : DALLAS
State : TX
Zip : 75284-7790
Country : US
Telephone Number : 254-215-9522
Fax Number : 254-215-9524
Provider Business Practice Location Address
First Line : 2601 THORNTON LN
Second Line :
City : TEMPLE
State : TX
Zip : 76502-1808
Country : US
Telephone Number : 254-724-2026
Fax Number : 254-724-7012
Authorized Official
Title or Position : CFO
Name : CHRISTOPHER L OLSEN
Credential :
Telephone Number : 254-724-4556
Provider Enumeration Date : 04/25/2006
Last Update Date : 08/01/2024

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1093791022 — LYNN M HEISE ACNP
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1740241926 — DONALD MATTHEW LYNCH D.P.M.
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1770591935 — DR. KAREN A HARCOURT DO
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1225144009 — ROBERT M PLEMMONS M.D.
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Directions to “SCOTT & WHITE MEMORIAL HOSPITAL ” Practice Location

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