SCOTT & WHITE MEMORIAL HOSPITAL (NPI# 1942266333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942266333 |
Entity Type | Organization |
Organization Name | SCOTT & WHITE MEMORIAL HOSPITAL |
Other Organization Name | BAYLOR SCOTT & WHITE DIALYSIS CENTER - TEMPLE |
Practice Address |
2601 Thornton Ln Temple TX 76502-1808 |
Mailing Address |
Po Box 847790 Dallas TX 75284-7790 |
Practice Telephone | 2547242026 |
Practice Fax Number | 2547247012 |
Mailing Telephone | 2542159522 |
Mailing Fax Number | 2542159524 |
Enumeration Date | 2006-04-25 |
Last Update Date | 2020-01-22 |
Authorized Official Name | SHAHIN MOTAKEF (CEO) |
Authorized Official Telephone | 2547246583 |
Is Organization Subpart | Y |
Parent Organization Name | SCOTT & WHITE MEMORIAL HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
008566 | TX | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BLUE CROSS | HH6140 | 01 |
TX | 0859936-01 | 05 |
Other Name | Type Code |
---|---|
Baylor Scott & White Dialysis Center - Temple | 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 |
2601 THORNTON LN |
City | TEMPLE |
State | TX |
Zip Code | 76502-1808 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255338992 | Christopher Glenn Browning | Podiatrist | 2601 Thornton Ln, Temple, TX 76502-1808 | 2005-07-07 |
1679002653 | Megan Joy Pitts | Podiatrist | 2601 Thornton Ln, Temple, TX 76502-1808 | 2017-06-05 |
1700318748 | Shirish Pradhan | Physician Assistant | 2601 Thornton Ln, Temple, TX 76502-1808 | 2017-03-29 |
1992188452 | Evangelos Kyprios | Podiatrist | 2601 Thornton Ln, 200, Temple, TX 76502-1808 | 2015-07-01 |
1710392279 | Lanster Rusk Martin | Podiatrist | 2601 Thornton Ln, Temple, TX 76502-1808 | 2014-06-24 |
1194130880 | Jonathan Lorenzana | Podiatrist | 2601 Thornton Ln, Temple, TX 76502-1808 | 2014-06-22 |
1366880270 | Clifton Hayes | Dietitian, Registered | 2601 Thornton Ln, Temple, TX 76502-1808 | 2013-06-13 |
1609211804 | Kate Lynn Horstmeyer | Dietitian, Registered | 2601 Thornton Ln, Ms-a1-406, Temple, TX 76502-1808 | 2013-05-02 |
1285983486 | Renal Treatment Centers Southeast Lp | Clinic/Center | 2601 Thornton Ln, Temple, TX 76502-1808 | 2012-09-04 |
1598053910 | Rebecca Suzan Smith | Podiatrist | 2601 Thornton Ln, Attn: Rebecca Smith, Dept of Podiatry, Temple, TX 76502-1808 | 2011-07-19 |
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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 | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285983486 | Renal Treatment Centers Southeast Lp | Clinic/Center | 2601 Thornton Ln, Temple, TX 76502-1808 | 2012-09-04 |
1962604686 | Bio-medical Applications of Texas, Inc | Clinic/Center | 2915 Saulsbury Dr, Ckd Services of Temple, Temple, TX 76504-2207 | 2007-06-04 |
1427160316 | Bio-medical Applications of Texas, Inc. | Clinic/Center | 2915 Saulsbury Dr, Temple, TX 76504-2207 | 2006-08-31 |
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1942801931 | Usrc Mckinney, LLC | Clinic/Center | 1434 N Central Expy Ste 116, Mckinney, TX 75070-3108 | 2020-11-05 |
1437756772 | Usrc Bluebonnet, LLC | Clinic/Center | 1902 Windsor Pl, Ste 100, Fort Worth, TX 76110-1866 | 2020-10-08 |
1609473941 | Usrc Bluebonnet Home, LLC | Clinic/Center | 1902 Windsor Pl Ste 202, Fort Worth, TX 76110-1866 | 2020-10-08 |
1982210050 | Usrc Stephenville LLC | Clinic/Center | 942 Bluebonnet Dr, Stephenville, TX 76401-1764 | 2020-09-23 |
1801402979 | Usrc Garland LLC | Clinic/Center | 219 W Kingsley Rd Ste 316, Garland, TX 75041-3434 | 2020-09-23 |
1003422171 | Usrc Dialysis At Home West LLC | Clinic/Center | 12011 State Highway 151 Ste 222, San Antonio, TX 78251-1230 | 2020-09-23 |
1477165462 | Fresenius Medical Care South Lewisville, LLC | Clinic/Center | 101 E Southwest Pkwy Ste 110, Lewisville, TX 75067-8753 | 2020-08-20 |
1598383259 | Dialysis Clinic Inc. | Clinic/Center | 6146 Wurzbach Road, San Antonio, TX 78238 | 2020-07-09 |
1891312559 | Usrc Houston Newco Home LLC | Clinic/Center | 2000 Crawford St Ste 777, Houston, TX 77002-9006 | 2020-06-29 |
1427671502 | Usrc Plano Dexter, LLC | Clinic/Center | 4708 Dexter Dr, Plano, TX 75093-5288 | 2020-05-22 |
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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.