Healthcare Provider Details

I. General information

NPI: 1225038938
Provider Name (Legal Business Name): BALLINGER MEMORIAL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2005
Last Update Date: 08/05/2024
Certification Date: 08/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 AVENUE B
BALLINGER TX
76821-2406
US

IV. Provider business mailing address

PO BOX 617
BALLINGER TX
76821-0617
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number000234
License Number StateTX

VIII. Authorized Official

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