1801889613 NPI number — HHM LLC

Table of content: (NPI 1801889613)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801889613 NPI number — HHM LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HHM LLC
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:
1801889613
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 7104
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ABILENE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79608-7104
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
325-795-9140
Provider Business Mailing Address Fax Number:
325-795-9150

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1111 INDUSTRIAL BLVD
Provider Second Line Business Practice Location Address:
BLDG 2
Provider Business Practice Location Address City Name:
ABILENE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79602-7929
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
325-795-9140
Provider Business Practice Location Address Fax Number:
325-795-9150
Provider Enumeration Date:
08/26/2005

Additional Information

Authorized Official

Authorized Official Last Name:
KEARNEY
Authorized Official First Name:
JEROME
Authorized Official Middle Name:
R
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
940-642-7460

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0079JV . This is a "BCBS TX GROUP PIN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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