SCOTT & WHITE MEMORIAL HOSPITAL (NPI# 1578502613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578502613 |
Entity Type | Organization |
Organization Name | SCOTT & WHITE MEMORIAL HOSPITAL |
Other Organization Name | KINGS'S DAUGHTERS HOSPITAL- SCOTT & WHITE HEALTHCARE |
Practice Address |
1901 Sw H K Dodgen Loop Temple TX 76502-1814 |
Mailing Address |
P.o. Box 847556 Dallas TX 75284-7556 |
Practice Telephone | 2547718600 |
Enumeration Date | 2006-06-05 |
Last Update Date | 2012-01-06 |
Authorized Official Name | MARK C PULCZINSKI (VP,RCO) |
Authorized Official Telephone | 2542159502 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282N00000X | General Acute Care Hospital | 000186 | TX | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 2183618-02 | 05 | |
TX | 2183618-01 | 05 | |
TX | FIRSTCARE | 104290100 | 01 |
TX | BLUE CROSS | HH0313 | 01 |
Other Name | Type Code |
---|---|
Kings's Daughters Hospital- Scott & White Healthcare | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366824898 | Scott & White Memorial Hospital | General Acute Care Hospital | 1908 Buffalo Speedway, Leander, TX 78641-8895 | 2015-06-20 |
1508916826 | Scott & White Memorial Hospital | Clinic/Center | 2201 S W S Young Dr Ste 101b, Killeen, TX 76543-5316 | 2007-01-11 |
1710942040 | Scott & White Memorial Hospital | Home Infusion | 5701 Airport Rd, Pod M, Temple, TX 76502-7048 | 2006-04-19 |
1922063320 | Scott & White Memorial Hospital | Clinic/Center | 3701 Scott and White Dr, Killeen, TX 76543-5228 | 2006-04-19 |
1760447163 | Scott & White Memorial Hospital | Clinic/Center | 2120 N Mays Rock Creek Plz#230, Round Rock, TX 78664-2192 | 2006-04-19 |
1457470262 | Scott & White Memorial Hospital | Clinic/Center | 2401 S 31st St, Temple, TX 76508-0001 | 2007-03-29 |
1720102528 | Scott & White Memorial Hospital | General Acute Care Hospital | 2401 S 31st St, Temple, TX 76508-0001 | 2007-03-19 |
1730213836 | Scott & White Memorial Hospital | Counselor | 2401 S 31st St, Temple, TX 76508-0001 | 2007-03-14 |
1326135369 | Scott & White Memorial Hospital | Home Health | 2911 Herring Ave, Ste 310, Waco, TX 76708-3245 | 2006-10-10 |
1669566584 | Scott & White Memorial Hospital | Hospice Care, Community Based | 2911 Herring Ave, Ste 310, Waco, TX 76708 | 2006-10-03 |
Street Address |
1901 SW H K DODGEN LOOP |
City | TEMPLE |
State | TX |
Zip Code | 76502-1814 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982681177 | Robin Ann Weerts | Nurse Anesthetist, Certified Registered | 1901 Sw H K Dodgen Loop, Temple, TX 76502 | 2005-12-28 |
1205458296 | Connor Travis Larson | Nurse Anesthetist, Certified Registered | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2020-05-12 |
1285277061 | Charity Ann Driver | Nurse Practitioner | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-10-23 |
1780232223 | Ahmed Gamal Aquino | Counselor | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-08-28 |
1629620778 | Cristiane Rocha Krohn | Registered Nurse | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-07-09 |
1801356159 | Daniel Dvoskin | Student in an Organized Health Care Education/Training Program | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-03-22 |
1720546039 | Irma Valle | Nurse Anesthetist, Certified Registered | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-03-05 |
1316411200 | Jadon Kirven | Counselor | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-01-14 |
1801371414 | Chad Krumpholz | Physician Assistant | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2018-09-28 |
1629550983 | Hailey Marek | Occupational Therapist | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2018-09-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
Find all providers in zip 76502 |
Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336443688 | Scott and White Memorial Hospital | General Acute Care Hospital | 2401 S First St, Temple, TX 76508-0001 | 2010-12-30 |
1477588820 | Central Texas Veteran's Health Care System | General Acute Care Hospital | 1901 S 1st St # 122, Temple, TX 76504-7451 | 2006-07-12 |
1811371784 | Baylor Scott & White | General Acute Care Hospital | 2601 Thornton Lane, Temple, TX 76502 | 2015-07-10 |
1699107805 | Scott and White Healthcare | General Acute Care Hospital | 2401 S 31st St, Temple, TX 76508-0001 | 2013-07-30 |
1164863783 | Scott and White | General Acute Care Hospital | 2401 S 31st St, Temple, TX 76508-0001 | 2013-07-11 |
1609213552 | Scott & White Hospital | General Acute Care Hospital | 2401 S 31st St, Temple, TX 76508-0001 | 2013-06-02 |
1093053555 | Scott & White Healthcare | General Acute Care Hospital | 2401 S 31st St, Temple, TX 76508-0001 | 2013-01-17 |
1609135904 | Andrew Robert Corona | General Acute Care Hospital | 2401 S 31st St, Temple, TX 76508-0001 | 2012-05-08 |
1457618894 | Scott and White | General Acute Care Hospital | 2401 S 31st St, Department of Pathology, Temple, TX 76508-0001 | 2012-04-23 |
1568796316 | Arlen Yvette Brown | General Acute Care Hospital | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2009-09-28 |
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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.