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NPI Code Detail

MEDICARE: HEART OF TEXAS HEALTHCARE SYSTEM

MEDICARE: HEART OF TEXAS HEALTHCARE SYSTEM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician000362TX
2282NR1301XRural Acute Care HospitalTX
3282NC0060XCritical Access Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3HH0156OTHERBLUE CROSS

General Provider Information

NPI Number : 1558349399
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEART OF TEXAS HEALTHCARE SYSTEM
Provider Business Mailing Address
First Line : PO BOX 1150
Second Line :
City : BRADY
State : TX
Zip : 76825-1150
Country : US
Telephone Number : 325-597-2901
Fax Number : 325-597-2280
Provider Business Practice Location Address
First Line : 2008 NINE RD
Second Line :
City : BRADY
State : TX
Zip : 76825-7210
Country : US
Telephone Number : 325-597-2901
Fax Number : 325-597-2280
Authorized Official
Title or Position : CEO
Name : MR. TIM JONES
Credential :
Telephone Number : 325-597-2901
Provider Enumeration Date : 01/03/2006
Last Update Date : 06/13/2024

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1811973266 — MARION JO KITSMILLER PA
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1457337800 — HEART OF TEXAS HEALTHCARE SYSTEM
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Directions to “HEART OF TEXAS HEALTHCARE SYSTEM ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.