Healthcare Provider Details
I. General information
NPI: 1528064649
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: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1900 PINE ST
ABILENE TX
79601-2432
US
IV. Provider business mailing address
1900 PINE ST
ABILENE TX
79601-2432
US
V. Phone/Fax
- Phone: 325-670-2000
- Fax:
- Phone: 325-670-2000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QA1903X |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR0404X |
| Taxonomy | Cardiac Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | 000500 |
| License Number State | TX |
VIII. Authorized Official
Name:
JEREMY
WALKER
Title or Position: VICE PRESIDENT/CFO
Credential:
Phone: 325-670-2000