Healthcare Provider Details

I. General information

NPI: 1548687171
Provider Name (Legal Business Name): BURLESON COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2014
Last Update Date: 10/25/2024
Certification Date: 10/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1022 PRESIDENTIAL CORRIDOR EAST
CALDWELL TX
77836
US

IV. Provider business mailing address

1022 PRESIDENTIAL CORRIDOR EAST
CALDWELL TX
77836
US

V. Phone/Fax

Practice location:
  • Phone: 979-567-0920
  • Fax: 979-567-4811
Mailing address:
  • Phone: 979-567-0920
  • Fax: 979-567-4811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. KIRK CHAPMAN
Title or Position: PRESIDENT, BOD
Credential:
Phone: 979-567-3244