1104025618 NPI number — BALLINGER MEMORIAL HOSPITAL DISTRICT

Table of content: (NPI 1104025618)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104025618 NPI number — BALLINGER MEMORIAL HOSPITAL DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BALLINGER MEMORIAL HOSPITAL DISTRICT
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:
Provider Other Organization Name Type Code:
6
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:
1104025618
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/19/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2001 N 6TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BALLINGER
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76821-2500
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
325-365-5766
Provider Business Mailing Address Fax Number:
325-365-5449

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2001 N 6TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BALLINGER
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76821-2500
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
325-365-5766
Provider Business Practice Location Address Fax Number:
325-365-5449
Provider Enumeration Date:
07/13/2007

Additional Information

Authorized Official

Authorized Official Last Name:
WIMSATT
Authorized Official First Name:
BRENDA
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR, CORPORATE AFFAIRS
Authorized Official Telephone Number:
615-550-9400

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  118303 , 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: 001015186 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 67-5614 . This is a "MEDICARE SNF" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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