MEDICARE: HENDRICK MEDICAL CENTER

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
1	251E00000X	Home Health Agency	000500	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HH9267	OTHER	TX	BLUE CROSS BLUE SHEILD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598761652
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HENDRICK MEDICAL CENTER

Provider Business Mailing Address
First Line	:	4310 BUFFALO GAP RD # 2001
Second Line	:
City	:	ABILENE
State	:	TX
Zip	:	79606-2724
Country	:	US
Telephone Number	:	325-670-2490
Fax Number	:	325-677-5643

Provider Business Practice Location Address
First Line	:	4310 BUFFALO GAP RD # 2001
Second Line	:
City	:	ABILENE
State	:	TX
Zip	:	79606-2724
Country	:	US
Telephone Number	:	325-670-2490
Fax Number	:	325-677-5643

Authorized Official
Title or Position	:	CFO
Name	:	JEREMY WALKER
Credential	:
Telephone Number	:	325-670-2000

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	10/16/2023

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Directions to “HENDRICK MEDICAL CENTER ” Practice Location

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