Hamilton County Hospital District

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HAMILTON COUNTY HOSPITAL DISTRICT

Doing business as

Bertram Nursing & Rehabilitation

Practice address

540 E State Highway 29
Bertram, TX 78605-4473

Phone

(512) 355-2116

Fax

(512) 355-3416

NPI assigned

Oct 29, 2020

Last updated

Nov 4, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Grady Hooper

Title

Chief Executive Officer

Phone

(254) 386-1600

Specialties & licenses 1

Addresses

Other names 1

• Bertram Nursing & Rehabilitation Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hamilton County Hospital District

  dba Avir at Lancaster

  • Skilled Nursing Facility
  • Lancaster, TX
  • NPI 1750985909

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1154921112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 INTERNATIONAL PLAZA",
            "address_2": "SUITE 600",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761094831",
            "telephone_number": "817-348-8959",
            "fax_number": "817-348-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E STATE HIGHWAY 29",
            "city": "BERTRAM",
            "state": "TX",
            "postal_code": "786054473",
            "telephone_number": "512-355-2116",
            "fax_number": "512-355-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "HOOPER",
        "authorized_official_first_name": "GRADY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "254-386-1600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bertram Nursing & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bertram Nursing & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Laura Moscatelli

• Skilled Nursing Facility in Bertram, TX
• Providers in Bertram, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.