Healthcare Provider Details

I. General information

NPI: 1790768844
Provider Name (Legal Business Name): SMITHVILLE HOSPITAL AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2005
Last Update Date: 10/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E HIGHWAY 71
SMITHVILLE TX
78957-1730
US

IV. Provider business mailing address

800 E HIGHWAY 71
SMITHVILLE TX
78957-1730
US

V. Phone/Fax

Practice location:
  • Phone: 512-237-3214
  • Fax: 512-237-5768
Mailing address:
  • Phone: 512-237-3214
  • Fax: 512-237-5768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number000385
License Number StateTX

VIII. Authorized Official

Name: ISABEL E SHAW
Title or Position: BILLING OFFICE MANAGER
Credential:
Phone: 512-237-5770