Organization · NPI-2
Hendrick Provider Network
Health Maintenance Organization · Abilene, TX
NPI number1245597558
StatusActive
Last updated in NPPESApr 12, 2012
Details
- NPI
- 1245597558
- Entity type
- Organization (NPI-2)
- Legal business name
- Hendrick Provider Network
- Organization subpart
- No
- Enumeration date
- Apr 12, 2012
- Last updated
- Apr 12, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | 647404 | TX | Yes |
| 282N00000X | General Acute Care Hospital | 647404 | TX |
Practice location
2000 Pine StAbilene, TX 79601-2434
Phone 325-670-6340
Mailing address
2000 Pine StAbilene, TX 79601-2434
Phone 325-670-6340
Authorized official
David Stephenson
Hendrick Provider Network Admin
3256706340
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