Healthcare Provider Details

I. General information

NPI: 1104025618
Provider Name (Legal Business Name): BALLINGER MEMORIAL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2007
Last Update Date: 01/19/2023
Certification Date: 09/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 N 6TH ST
BALLINGER TX
76821-2500
US

IV. Provider business mailing address

2001 N 6TH ST
BALLINGER TX
76821-2500
US

V. Phone/Fax

Practice location:
  • Phone: 325-365-5766
  • Fax: 325-365-5449
Mailing address:
  • Phone: 325-365-5766
  • Fax: 325-365-5449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number118303
License Number StateTX

VIII. Authorized Official

Name: BRENDA WIMSATT
Title or Position: DIRECTOR, CORPORATE AFFAIRS
Credential:
Phone: 615-550-9400