HENDRICK SOUTHWESTERN HEALTH DEVELOPMENT CORPORATION (NPI# 1760460927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760460927 |
| Entity Type | Organization |
| Organization Name | HENDRICK SOUTHWESTERN HEALTH DEVELOPMENT CORPORATION |
| Other Organization Name | HENDRICK MEDICAL SUPPLY |
| Practice Address |
105 E Arizona Ave Sweetwater TX 79556-7117 |
| Mailing Address |
Po Box 115 Abilene TX 79604-0115 |
| Practice Telephone | 3252358500 |
| Practice Fax Number | 3252358527 |
| Mailing Telephone | 3256733711 |
| Mailing Fax Number | 3256734639 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2016-06-29 |
| Authorized Official Name | MR. BRIAN BESSENT (AVP) |
| Authorized Official Telephone | 3256706067 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 0035126 | TX | Suppliers |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
0035126 | TX | Suppliers |
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
0035126 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 017032601 | 05 | |
| TX | MEDICAID CCP PROGRAM | 107626701 | 01 |
| TX | BLUE CROSS BLUE SHIELD | B519895 | 01 |
| Other Name | Type Code |
|---|---|
| Hendrick Medical Supply | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972925758 | Hendrick Southwestern Health Development Corporation | Durable Medical Equipment & Medical Supplies | 5305 Trinity Blvd Ste A, Snyder, TX 79549-6166 | 2014-01-13 |
| 1548248719 | Hendrick Southwestern Health Development Corporation | Durable Medical Equipment & Medical Supplies | 1318 N 8th St, Abilene, TX 79601-4126 | 2006-01-06 |
| 1932187291 | Hendrick Southwestern Health Development Corporation | Durable Medical Equipment & Medical Supplies | 2371 Crockett Dr Ste 101, Brownwood, TX 76801-5991 | 2006-01-06 |
| 1407046857 | Hendrick Southwestern Health Development Corporation | Audiologist-Hearing Aid Fitter | 1934 Hickory St, Abilene, TX 79601 | 2007-07-31 |
| Street Address |
105 E ARIZONA AVE |
| City | SWEETWATER |
| State | TX |
| Zip Code | 79556-7117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932680972 | Rebecca Jane Rees | Counselor | 808 1/2 East Broadway, Sweetwater, TX 79556 | 2018-08-28 |
| 1811324080 | Byron Heath Patterson | Pharmacist | 210 Sw Georgia Ave, Sweetwater, TX 79556 | 2013-10-03 |
| 1598034506 | Norma Linda Leal | Pharmacist | 210 S. W. Georgia Ave, Sweetwater, TX 79556 | 2011-12-20 |
| 1609023746 | Donald J. Armstrong Jr. | Counselor | 113 W. 3rd St., Sweetwater, TX 79556 | 2008-08-20 |
| 1023280724 | Chas L Mcglothlin | Durable Medical Equipment & Medical Supplies | 1107b E Broadway, Sweetwater, TX 79556 | 2008-04-02 |
| 1023134590 | Assisted Living Concepts Inc | Assisted Living Facility | 1700 Hoyt Avenue, Sweetwater, TX 79556 | 2007-03-22 |
| 1467598771 | Randy S May | Dentist | 302 East Third St, Sweetwater, TX 79556 | 2007-01-30 |
| 1437200573 | City of Sweetwater | Home Delivered Meals | 1701 Elm St, Sweetwater, TX 79556 | 2007-01-16 |
| 1669567277 | Paul Edward Byers | Nurse Anesthetist, Certified Registered | 200 East Arizona Avenue, Sweetwater, TX 79556 | 2006-10-03 |
| 1972602829 | Gilbert S. Carreon | Dentist | 500 Lamar, Sweetwater, TX 79556 | 2006-09-21 |
| Find all providers in zip 79556 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265427058 | First Care Health Pllc | Durable Medical Equipment & Medical Supplies | 408 Sweetwater Vonore Rd, Sweetwater, TN 37874-3025 | 2005-09-17 |
| 1124275185 | First Care Health, Pllc | Durable Medical Equipment & Medical Supplies | 408 Sweetwater Vonore Rd, Sweetwater, TN 37874-3025 | 2008-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897735 | Extraordinary Home Health Care LLC | Durable Medical Equipment & Medical Supplies | 754 Bateswood Dr Apt 4, Houston, TX 77079-5711 | 2020-09-24 |
| 1013527290 | Riptide Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2408 Lexington Pl, Brownsville, TX 78520-3914 | 2020-08-03 |
| 1790300457 | United Wellness Dme LLC | Durable Medical Equipment & Medical Supplies | 2611 N Texas Blvd Ste 3, Weslaco, TX 78599-4062 | 2020-06-09 |
| 1831711969 | Brightstar Medical Supply | Durable Medical Equipment & Medical Supplies | 1006 N Sylvania Ave, Fort Worth, TX 76111-2516 | 2020-05-12 |
| 1568099232 | Manuel F Huaman | Durable Medical Equipment & Medical Supplies | 19842 Portlick Ct, Katy, TX 77449-5737 | 2020-03-24 |
| 1265076806 | Stateserv Medical of Texas | Durable Medical Equipment & Medical Supplies | 1207 N. Glenview Drive, Richardson, TX 75081 | 2019-11-06 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1649823550 | Thomas Edward Potter | Durable Medical Equipment & Medical Supplies | 135 Bonner Ave, Corsicana, TX 75110-9252 | 2019-07-19 |
| 1114587912 | Curtis Downey | Durable Medical Equipment & Medical Supplies | 4914 Winnetka St, Houston, TX 77021-2932 | 2019-06-14 |
| 1700443330 | Leticia Garcia | Durable Medical Equipment & Medical Supplies | 12077 Briargrove Ln, Forney, TX 75126-4132 | 2019-05-20 |
| Find all providers with the same taxonomy | ||||
| City | SWEETWATER |
| Zip Code | 79556 |
Please comment or provide details below to improve the information on HENDRICK SOUTHWESTERN HEALTH DEVELOPMENT CORPORATION.
| 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.