Healthcare Provider Details

I. General information

NPI: 1437756293
Provider Name (Legal Business Name): HENDRICK MEDICAL CENTER BROWNWOOD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2020
Last Update Date: 10/21/2020
Certification Date: 10/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 W WALLACE ST
SAN SABA TX
76877-4433
US

IV. Provider business mailing address

1900 PINE ST
ABILENE TX
79601-2432
US

V. Phone/Fax

Practice location:
  • Phone: 325-372-5701
  • Fax: 325-372-3249
Mailing address:
  • Phone: 325-670-2000
  • Fax:

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: JEREMY TYLER WALKER
Title or Position: CFO
Credential:
Phone: 325-670-2182