HENDERSON MEMORIAL HOSPITAL (NPI# 1144349069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144349069 |
| Entity Type | Organization |
| Organization Name | HENDERSON MEMORIAL HOSPITAL |
| Practice Address |
300 Wilson St Henderson TX 75652-5956 |
| Practice Telephone | 9036577541 |
| Mailing Telephone | 9036577541 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2009-05-14 |
| Authorized Official Name | MR. KEVIN STOREY (CFO) |
| Authorized Official Telephone | 9036553618 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 018105901 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235258153 | Henderson Memorial Hospital | Clinic/Center | 300 Wilson St, Henderson, TX 75652-5956 | 2007-03-29 |
| 1447395322 | Henderson Memorial Hospital | Medicare Defined Swing Bed Unit | 300 Wilson St, Henderson, TX 75652-5956 | 2007-02-20 |
| 1730123464 | Henderson Memorial Hospital | Nurse Anesthetist, Certified Registered | 300 Wilson St, Henderson, TX 75652-5956 | 2006-06-15 |
| 1396788113 | Henderson Memorial Hospital | Clinic/Center | 300 Wilson St, Henderson, TX 75652-5956 | 2006-06-13 |
| 1134167984 | Henderson Memorial Hospital | Emergency Medicine | 300 Wilson St, Henderson, TX 75652-5956 | 2006-06-03 |
| 1205880424 | Henderson Memorial Hospital | General Acute Care Hospital | 300 Wilson St, Henderson, TX 75652-5956 | 2006-05-20 |
| Street Address |
300 WILSON ST |
| City | HENDERSON |
| State | TX |
| Zip Code | 75652-5956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954509 | Shawna Elizabeth Sharp | Nurse Practitioner | 300 Wilson St, Henderson, TX 75652-5956 | 2020-05-21 |
| 1053953794 | Mica Ladon Norman | Nurse Practitioner | 300 Wilson St, Henderson, TX 75652-5956 | 2019-10-15 |
| 1639670466 | Henderson Hospital, LLC | Nurse Anesthetist, Certified Registered | 300 Wilson St, Henderson, TX 75652-5956 | 2018-02-27 |
| 1043710437 | Henderson Hospital, LLC | Internal Medicine | 300 Wilson St, Henderson, TX 75652-5956 | 2018-02-13 |
| 1952800310 | Henderson Hospital, LLC | Clinic/Center | 300 Wilson St, Henderson, TX 75652-5956 | 2018-02-12 |
| 1326546797 | Henderson Hospital, LLC | General Acute Care Hospital | 300 Wilson St, Henderson, TX 75652-5956 | 2018-01-31 |
| 1154730273 | Tanager Emergency Physicians Pllc | Emergency Medicine | 300 Wilson St, Henderson, TX 75652-5956 | 2014-08-04 |
| 1376828400 | Kwabena Agyapong Osman | General Acute Care Hospital | 300 Wilson St, Henderson, TX 75652-5956 | 2011-10-20 |
| 1679899751 | Rusk Physician Services Pa | Hospitalist | 300 Wilson St, Henderson, TX 75652-5956 | 2010-04-14 |
| 1942437967 | East Texas Medical Center Henderson | General Acute Care Hospital | 300 Wilson St, Henderson, TX 75652-5956 | 2009-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264384 | John Etakibuebu | Pharmacist | 2415 Hwy 79 S, Henderson, TX 75652 | 2020-01-15 |
| 1841758596 | Janet Juanita Ray | Registered Nurse | 1987 Fm 2276 N, Henderson, TX 75652 | 2019-03-12 |
| 1912490483 | Matthew Davis Acres | Dentist | 1910 Tx-43, Henderson, TX 75652 | 2018-06-11 |
| 1467863407 | Counseling Services | Counselor | 1103 Wilson Street, Henderson, TX 75652 | 2014-05-13 |
| 1285900852 | Linda June Pool | Music Therapist | 6861 Fm 1251 E., Henderson, TX 75652 | 2012-03-28 |
| 1780992586 | Furqueron & Jackson Dentistry Partnership | Dentist | 1910 State Hwy 43 East, Henderson, TX 75652 | 2010-09-15 |
| 1235396359 | Crystal Touchstone | Physical Therapy Assistant | 1010 W Main, Henderson, TX 75652 | 2008-05-16 |
| 1609082379 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 103 Truman, Henderson, TX 75652 | 2007-05-16 |
| 1790997302 | Billy George Brown | Dentist | 300-b North High Street, Henderson, TX 75652 | 2007-05-04 |
| 1043379761 | Donna G Mason-mcfalll | Counselor | 1103 Wilson St, Henderson, TX 75652 | 2006-12-08 |
| Find all providers in zip 75652 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665676 | Vitality Restored Chiropractic and Wellness Center | Clinic/Center | 1742 W Horizon Ridge Pkwy Ste 110, Henderson, NV 89012-4833 | 2019-08-19 |
| 1891265997 | Elite Beg Limited Liability Co | Clinic/Center | 209 S Stephanie St # B177, Henderson, NV 89012-5501 | 2018-11-30 |
| 1215330014 | The Gateway Center Las Vegas | Clinic/Center | 74 North Pecos, Suite C, Henderson, NV 89074-7344 | 2014-10-07 |
| 1508036781 | Elaine T. Shim, Dds, PC | Clinic/Center | 1550 N Green Valley Pkwy, #350, Henderson, NV 89074-7108 | 2008-03-04 |
| 1154510907 | American Current Care Pa | Clinic/Center | 149 N Gibson Road, Suite H, Henderson, NV 89014 | 2007-10-17 |
| 1457355125 | Matthew 25 Aids Services Inc | Clinic/Center | 452 Old Corydon Rd, Henderson, KY 42420-4645 | 2005-06-09 |
| 1104440692 | Las Vegas Scripts Care LLC | Clinic/Center | 2920 N Green Valley Pkwy Ste 814, Henderson, NV 89014-0409 | 2020-06-01 |
| 1295386936 | Vegas Md | Clinic/Center | 11201 S Eastern Ave Ste 110, Henderson, NV 89052-6200 | 2019-09-24 |
| 1942787122 | Desert Dietitians LLC | Clinic/Center | 2470 W Horizon Ridge Pkwy Ste 120, Henderson, NV 89052-2733 | 2018-07-20 |
| 1881196012 | Bamboo Family Clinic LLC | Clinic/Center | 98 E Lake Mead Pkwy Ste 307, Henderson, NV 89015-6444 | 2018-03-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.