MEDICARE: HH KILLEEN HEALTH SYSTEM LLC

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	261QP2000X	Physical Therapy Clinic/Center
2	282N00000X	General Acute Care Hospital

Other Identifiers

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

General Provider Information

NPI Number	:	1841562709
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HH KILLEEN HEALTH SYSTEM LLC

Provider Business Mailing Address
First Line	:	850 W CENTRAL TEXAS EXPY
Second Line	:
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-1890
Country	:	US
Telephone Number	:	254-953-8342
Fax Number	:	254-953-8344

Provider Business Practice Location Address
First Line	:	850 W CENTRAL TEXAS EXPY
Second Line	:
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-1890
Country	:	US
Telephone Number	:	254-953-8342
Fax Number	:	254-953-8344

Authorized Official
Title or Position	:	CEO
Name	:	ZACH DIETZE
Credential	:
Telephone Number	:	254-680-6201

Provider Enumeration Date	:	02/07/2012
Last Update Date	:	03/24/2017

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Directions to “HH KILLEEN HEALTH SYSTEM LLC ” Practice Location

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