CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY (NPI# 1265575104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265575104 |
| Entity Type | Organization |
| Organization Name | CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY |
| Other Organization Name | CORYELL MEMORIAL HOSPITAL EMS |
| Practice Address |
1507 W Main St Gatesville TX 76528-1024 |
| Practice Telephone | 2548651248 |
| Practice Fax Number | 2548651363 |
| Mailing Telephone | 2548651248 |
| Mailing Fax Number | 2548651363 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2008-08-01 |
| Authorized Official Name | MR. FRED H GRAY JR. (EMS DIRECTOR) |
| Authorized Official Telephone | 2548651248 |
| Authorized Official Credential | PARAMEDIC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
050001 | TX | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 134772603 | 05 |
| Other Name | Type Code |
|---|---|
| Coryell Memorial Hospital EMS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780298547 | Coryell County Memorial Hospital Authority | Clinic/Center | 498 Avenue E, Moody, TX 76557-3579 | 2020-08-31 |
| 1780124594 | Coryell County Memorial Hospital Authority | Skilled Nursing Facility | 121 Commons, Athens, TX 75751-0009 | 2017-02-27 |
| 1962891523 | Coryell County Memorial Hospital Authority | Skilled Nursing Facility | 3505 S Buckner Blvd Bldg 5, Dallas, TX 75227-5451 | 2015-01-20 |
| 1952531824 | Coryell County Memorial Hospital Authority | Family Medicine | 3401 East Main Street, Gatesville, TX 76528-1028 | 2009-07-24 |
| 1457468431 | Coryell County Memorial Hospital Authority | Skilled Nursing Facility | 7801 Woodway Dr, Woodway, TX 76712-3860 | 2006-08-24 |
| 1669589610 | Coryell County Memorial Hospital Authority | Skilled Nursing Facility | 8501 Laurens Ln, San Antonio, TX 78218-6092 | 2006-08-24 |
| 1447296264 | Coryell County Memorial Hospital Authority | Nursing Facility/Intermediate Care Facility | 110 Chicktown Road, Gatesville, TX 76528-1035 | 2006-06-21 |
| 1518900778 | Coryell County Memorial Hospital Authority | Clinic/Center | 1510 Hannah Valley Rd, Goldthwaite, TX 76844-2533 | 2006-06-14 |
| 1568417491 | Coryell County Memorial Hospital Authority | Emergency Medicine | 1507 West Main Street, Gatesville, TX 76528-1024 | 2006-05-22 |
| 1538624507 | Coryell County Memorial Hospital Authority | Skilled Nursing Facility | 2300 S Oak Grove Rd, Ennis, TX 75119-6841 | 2019-02-04 |
| Street Address |
1507 W MAIN ST |
| City | GATESVILLE |
| State | TX |
| Zip Code | 76528-1024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013910272 | Richard Kenneth Hurley | Anesthesiology | 1507 W Main St, Gatesville, TX 76528-1024 | 2005-05-23 |
| 1922658897 | Russell Rowe, Md, Pa | Dermatology | 1507 W Main St, Gatesville, TX 76528-1024 | 2019-09-12 |
| 1629540109 | Emily Leib | Physician Assistant | 1507 W Main St, Gatesville, TX 76528-1024 | 2018-12-21 |
| 1316427883 | Kelli Dudley | Nurse Practitioner | 1507 W Main St, Gatesville, TX 76528-1024 | 2018-08-15 |
| 1912485293 | Alecia Nicole Eads | Nurse Practitioner | 1507 W Main St, Gatesville, TX 76528-1024 | 2018-07-30 |
| 1679065833 | Ashley Lynette Stephens | Nurse Practitioner | 1507 W Main St, Gatesville, TX 76528-1024 | 2018-06-04 |
| 1760972863 | Casey Lynn Questelle | Specialist/Technologist, Other | 1507 W Main St, Gatesville, TX 76528 | 2018-05-14 |
| 1295241305 | Kerry Zacharias | Nurse Practitioner | 1507 W Main St, Gatesville, TX 76528-1024 | 2017-12-27 |
| 1255844791 | Mistee Jefferies | Nurse Practitioner | 1507 W Main St, Gatesville, TX 76528-1024 | 2017-11-07 |
| 1770010787 | Steven Christopher Liebing | Family Medicine | 1507 W Main St, Gatesville, TX 76528-1024 | 2017-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649751850 | Shannon Neuharth | Physical Therapy Assistant | 300 South Highway 36 Bypass, Gatesville, TX 76528 | 2018-08-25 |
| 1083149835 | Kathryn Cordell | Peer Specialist | 2400 Greenbriar Road, Gatesville, TX 76528 | 2017-04-28 |
| 1205375334 | Angel Edwards | Behavior Technician | 136 North 28th Street, Gatesville, TX 76528 | 2017-02-22 |
| 1790133775 | Peter Bealka | Ophthalmology | 2406 S. Business Highway 36, Gatesville, TX 76528 | 2016-05-31 |
| 1356748230 | Hcaa, LLC | Clinic/Center | 2610 Osage Road, Gatesville, TX 76528 | 2014-11-20 |
| 1215346788 | Deborah Stephens | Dentist | 1916 N. Hwy 36, Gatesville, TX 76528 | 2014-08-08 |
| 1144419672 | Neil M. Bealka Jr.,m.d. Pa | Ophthalmology | 2406 S. Business Hwy 36, Gatesville, TX 76528 | 2007-10-22 |
| 1386762920 | Cynthia Treadway Bankston | Hearing Instrument Specialist | 145 Cr 107, Gatesville, TX 76528 | 2007-03-26 |
| 1437268885 | H-e-b, Lp | Clinical Medical Laboratory | 1207 E Main St, Gatesville, TX 76528 | 2006-08-30 |
| 1336182310 | Neil Michael Bealka Jr. | Ophthalmology | 2406 S Business Hwy 36, Gatesville, TX 76528 | 2006-06-14 |
| Find all providers in zip 76528 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528444643 | County of Gates | Ambulance | 16 Us Highway 158 E, Gatesville, NC 27938-9441 | 2015-07-31 |
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| 1790327765 | Gonzales County Emergency Services District 1 | Ambulance | 305 Qualls Street, Gonzales, TX 78629 | 2019-10-11 |
| Find all providers with the same taxonomy | ||||
| City | GATESVILLE |
| Zip Code | 76528 |
Please comment or provide details below to improve the information on CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY.
| 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.