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General NPI Number Information
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NPI Number | 1023013448
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Entity Type | Organization
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Legal Business Name | UNITED REGIONAL HEALTH CARE SYSTEM INC
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 1600 11TH ST
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City | WICHITA FALLS
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State | TX
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Zip | 76301-4388
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Country | US
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Telephone | 940-764-3034
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Fax | 940-764-8315
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Provider Business Mailing Address
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Address Line | 1600 11TH ST
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City | WICHITA FALLS
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State | TX
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Zip | 76301-4388
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Country | US
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Telephone | 940-764-3034
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Fax | 940-764-8315
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Authorized Official
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Title or Position | PRESIDENT & CHIEF EXECUTIVE OFFICER
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Name | MR. CORY EDMONDSON
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Credential |
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Telephone | 940-764-3034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 000417
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License Number State | TX
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