CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY (NPI# 1780298547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780298547 |
| Entity Type | Organization |
| Organization Name | CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY |
| Practice Address |
498 Avenue E Moody TX 76557-3579 |
| Mailing Address |
1507 W Main St Gatesville TX 76528-1024 |
| Practice Telephone | 2548652166 |
| Practice Fax Number | 2542480626 |
| Mailing Telephone | 2548652166 |
| Mailing Fax Number | 2542480626 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | KARA MICHELLE COX (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 2542483213 |
| Is Organization Subpart | Y |
| Parent Organization Name | CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Coryell Health Clinic - Moody | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1649760877 | Coryell County Memorial Hospital Authority | Skilled Nursing Facility | 7625 Glenview Dr, Richland Hills, TX 76180-8331 | 2018-05-14 |
| Street Address |
498 AVENUE E |
| City | MOODY |
| State | TX |
| Zip Code | 76557-3579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225320559 | Janice Renay Newman | Occupational Therapist | 8285 Fm 2409, Moody, TX 76557-3026 | 2011-05-04 |
| 1801374525 | Hugh Mcdanel | Contractor | 15310 State Highway 317, Moody, TX 76557-3252 | 2018-08-03 |
| 1134666043 | Ana V Bull | Specialist/Technologist | 11862 S Lone Star Pkwy, Moody, TX 76557-3660 | 2017-01-30 |
| 1780166082 | Valerie Caperton | Occupational Therapist | 802 Avenue E, Moody, TX 76557-3748 | 2018-09-04 |
| 1467095281 | Jessica L Delgado Araiza | Licensed Vocational Nurse | 10457 Community Center Rd, Moody, TX 76557-3798 | 2019-10-24 |
| 1194362756 | Pete Martinez | Licensed Vocational Nurse | 307 Valley Dr, Moody, TX 76557-3823 | 2019-12-03 |
| 1023444072 | Gentle Transitions, LLC | Hospice Care, Community Based | 18683 Elm Creek Rd, Moody, TX 76557-3831 | 2013-09-23 |
| 1598750036 | Hometown Care Center LLC | Nursing Facility/Intermediate Care Facility | 220 8th St, Moody, TX 76557-3848 | 2005-09-12 |
| 1821597964 | Ila Procell | Massage Therapist | 407 8th St, Moody, TX 76557-3849 | 2018-02-05 |
| 1972136059 | Gloria C Decaires | Registered Nurse | 522 Berean Rd, Moody, TX 76557-3868 | 2020-02-18 |
| Find all providers in zip 76557 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776586 | West Texas Family Medicine, Pllc | Clinic/Center | 315 W Cleveland St, Hale Center, TX 79041 | 2020-10-05 |
| 1760005953 | Eastland Memorial Hospital District | Clinic/Center | Walnut Street Clinic, 200 Walnut Street Clinic, Ranger, TX 76448-7644 | 2020-05-21 |
| 1023631306 | Eastland Memorial Hospital District | Clinic/Center | Emh Regional Healthcare Clinic, 2314 W. Commerce Street, Eastland, TX 76448-7644 | 2020-05-21 |
| 1346862752 | Ascension Seton | Clinic/Center | 249 Sportsplex Dr., Suite 204, Dripping Springs, TX 78620-2350 | 2020-05-08 |
| 1255977211 | Frio Hospital Association | Clinic/Center | 801 Fm W 117, Dilley, TX 78017 | 2019-11-25 |
| 1700447950 | Scott & White Hospital - Marble Falls | Clinic/Center | 105 Fm2342, Kingsland, TX 78639-6010 | 2019-06-27 |
| 1275193005 | Brenham Family Practice and Obstetrics Pa | Clinic/Center | 601 Medical Pkwy Ste D, Brenham, TX 77833-5430 | 2019-06-14 |
| 1588137103 | Nocona Hospital District | Clinic/Center | 108 E Boggess St, Saint Jo, TX 76265-0238 | 2019-01-07 |
| 1033687900 | Gainesville Community Hospital, Inc. | Clinic/Center | 801 N Grand Ave Ste 1&4, Gainesville, TX 76240-3573 | 2018-11-08 |
| 1154805687 | County of Ward | Clinic/Center | 921 E 4th St, Monahans, TX 79756-4016 | 2018-09-20 |
| Find all providers with the same taxonomy | ||||
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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.