1508965658 NPI number — H.E.A.L.T.H., INC.

Table of content: (NPI 1508965658)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508965658 NPI number — H.E.A.L.T.H., INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
H.E.A.L.T.H., INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
THE SHEPHERD'S COMMUNITY HEALTH CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508965658
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
407 N ADAMS ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BEEVILLE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78102-4943
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
361-358-4242
Provider Business Mailing Address Fax Number:
361-358-8155

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
801 HOUSTON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GEORGE WEST
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78022-3866
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
361-449-4242
Provider Business Practice Location Address Fax Number:
361-449-1095
Provider Enumeration Date:
09/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HILLIARD
Authorized Official First Name:
CINDY
Authorized Official Middle Name:
R.
Authorized Official Title or Position:
CHIEF FINANCIAL OFFICER
Authorized Official Telephone Number:
361-358-4051

Provider Taxonomy Codes

  • Taxonomy code: 261QF0400X , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1891785093 . This is a "MEINEKE, TERRANCE NPI" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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