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	3336C0003X	Community/Retail Pharmacy

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
2	4588060	OTHER	TX	NABP NUMBER

General Provider Information

NPI Number	:	1881764470
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HENDRICK MEDICAL CENTER

Provider Business Mailing Address
First Line	:	1265 AMBLER AVE
Second Line	:
City	:	ABILENE
State	:	TX
Zip	:	79601-2371
Country	:	US
Telephone Number	:	325-670-4545
Fax Number	:	325-670-2896

Provider Business Practice Location Address
First Line	:	1265 AMBLER AVE
Second Line	:
City	:	ABILENE
State	:	TX
Zip	:	79601-2371
Country	:	US
Telephone Number	:	325-670-4545
Fax Number	:	325-670-2896

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRADLEE HOLLAND
Credential	:
Telephone Number	:	325-670-2201

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	04/02/2024

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Directions to “HENDRICK MEDICAL CENTER ” Practice Location

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