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General NPI Number Information
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NPI Number | 1700307964
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Entity Type | Organization
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Legal Business Name | CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
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Dates
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Enumeration Date | 06/28/2017
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 5000 THAYER DR
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City | KILLEEN
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State | TX
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Zip | 76549
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Country | US
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Telephone | 254-221-6380
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Fax |
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Provider Business Mailing Address
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Address Line | 5000 THAYER DR
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City | KILLEEN
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State | TX
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Zip | 76549-6711
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Country | US
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Telephone | 254-221-6380
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Fax | 254-698-2355
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Authorized Official
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Title or Position | CEO
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Name | DAVID BYROM
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Credential |
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Telephone | 254-865-8251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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