Healthcare Provider Details

I. General information

NPI: 1497403661
Provider Name (Legal Business Name): HENDRICK MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2022
Last Update Date: 03/16/2023
Certification Date: 03/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6250 US HIGHWAY 83
ABILENE TX
79606-5215
US

IV. Provider business mailing address

1900 PINE ST
ABILENE TX
79601-2432
US

V. Phone/Fax

Practice location:
  • Phone: 325-670-2000
  • Fax:
Mailing address:
  • Phone: 325-670-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ANDREW T EUREK
Title or Position: DIRECTOR, FINANCIAL ANALYSIS
Credential:
Phone: 325-670-3424