Coryell County Memorial Hospital Authority
Skilled Nursing Facility in Groesbeck, TX. Organization (NPI-2).
NPI number1104233592
StatusActive
Last updated in NPPESAug 20, 2026
Details
- NPI
- 1104233592
- Entity type
- Organization (NPI-2)
- Legal business name
- Coryell County Memorial Hospital Authority
- Organization subpart
- No
- Enumeration date
- Jul 17, 2014
- Certification date
- Aug 20, 2026
- Last updated
- Aug 20, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - SKILLED NURSING FACILITY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Avir At Groesbeck (Doing Business As)
Practice location
1025 W Yeagua StGroesbeck, TX 76642-3529
Phone 254-729-3366 · Fax 254-729-3475
Mailing address
1025 W Yeagua StGroesbeck, TX 76642-3529
Phone 254-729-3366 · Fax 254-729-3475
Authorized official
David K Byrom
Ceo
2542486300
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Skilled Nursing Facility providers in Groesbeck, TX
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All 6 Skilled Nursing Facility providers in Groesbeck · All 80 providers in Groesbeck
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