Healthcare Provider Details

I. General information

NPI: 1538123617
Provider Name (Legal Business Name): BALLINGER MEMORIAL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 01/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 HUTCHINS AVENUE SUITE C
BALLINGER TX
76821-4427
US

IV. Provider business mailing address

P.O. BOX 617
BALLINGER TX
76821-0617
US

V. Phone/Fax

Practice location:
  • Phone: 325-365-5737
  • Fax: 325-365-2405
Mailing address:
  • Phone: 325-365-2531
  • Fax: 325-365-5689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RHETT D. FRICKE
Title or Position: CEO/ADMINISTRATOR
Credential:
Phone: 325-365-2531