=====================================================
General NPI Number Information
=====================================================
NPI Number | 1003192311
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EL CAMPO MEMORIAL HOSPITAL
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/01/2011
-----------------------------------------------------
Last Update Date | 09/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 303 SANDY CORNER RD
-----------------------------------------------------
City | EL CAMPO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77437-9535
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 979-543-6251
-----------------------------------------------------
Fax | 979-275-1147
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 303 SANDY CORNER RD
-----------------------------------------------------
City | EL CAMPO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77437-9535
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 979-543-6251
-----------------------------------------------------
Fax | 979-543-8420
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | BRETT KIRKHAM
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 979-543-6251
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 282N00000X
-----------------------------------------------------
Taxonomy Name | General Acute Care Hospital
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------