Healthcare Provider Details

I. General information

NPI: 1598761652
Provider Name (Legal Business Name): HENDRICK MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2005
Last Update Date: 10/16/2023
Certification Date: 10/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4310 BUFFALO GAP RD # 2001
ABILENE TX
79606-2724
US

IV. Provider business mailing address

4310 BUFFALO GAP RD # 2001
ABILENE TX
79606-2724
US

V. Phone/Fax

Practice location:
  • Phone: 325-670-2490
  • Fax: 325-677-5643
Mailing address:
  • Phone: 325-670-2490
  • Fax: 325-677-5643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number000500
License Number StateTX

VIII. Authorized Official

Name: JEREMY WALKER
Title or Position: CFO
Credential:
Phone: 325-670-2000