Healthcare Provider Details

I. General information

NPI: 1255447181
Provider Name (Legal Business Name): METROPLEX ADVENTIST HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 01/06/2021
Certification Date: 01/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 N KEY AVE
LAMPASAS TX
76550-1106
US

IV. Provider business mailing address

PO BOX 6397
FORT WORTH TX
76115-0397
US

V. Phone/Fax

Practice location:
  • Phone: 254-519-8165
  • Fax: 254-526-3483
Mailing address:
  • Phone: 817-551-2721
  • Fax: 817-568-5545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number007209
License Number StateTX

VIII. Authorized Official

Name: KEVIN ROBERTS
Title or Position: CEO
Credential:
Phone: 254-519-8165