Healthcare Provider Details

I. General information

NPI: 1447811021
Provider Name (Legal Business Name): EASTLAND MEMORIAL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2019
Last Update Date: 04/13/2021
Certification Date: 04/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 MEDICAL DR
ABILENE TX
79601-4524
US

IV. Provider business mailing address

725 MEDICAL DR
ABILENE TX
79601-4524
US

V. Phone/Fax

Practice location:
  • Phone: 325-672-3236
  • Fax: 325-677-1033
Mailing address:
  • Phone: 325-672-3236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: EMILY ELAINE ROGERS
Title or Position: ADMIN ASST.
Credential:
Phone: 254-631-5342