Active NPI
Walker County Hospital Corporation
- Home Health Agency
- Huntsville, TX
National Provider Identifier
1215052154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- WALKER COUNTY HOSPITAL CORPORATION
- Practice address
- 110 Memorial Hospital Dr
Huntsville, TX 77340-4940 - Phone
- (936) 291-4343
- Fax
- (939) 291-4352
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sally Nelson
- Title
- Ceo
- Phone
- (936) 291-3411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | TX | Primary |
Addresses
Primary practice location
110 Memorial Hospital Dr
Huntsville, TX 77340-4940
Mailing address
110 Memorial Hospital Dr
Huntsville, TX 77340-4940
Phone (936) 291-4343
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HH8423 | Other | BCBS | |
| 024091301 | Medicaid | TX |
Other names 1
- Huntsville Memorial Hospital Home Care Agency
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251158400000",
"number": "1215052154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 MEMORIAL HOSPITAL DR",
"city": "HUNTSVILLE",
"state": "TX",
"postal_code": "773404940",
"telephone_number": "936-291-4343",
"fax_number": "939-291-4352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 MEMORIAL HOSPITAL DR",
"city": "HUNTSVILLE",
"state": "TX",
"postal_code": "773404940",
"telephone_number": "936-291-4343",
"fax_number": "939-291-4352"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALKER COUNTY HOSPITAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2009-08-25",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "SALLY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "936-291-3411"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "HH8423",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024091301",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Huntsville Memorial Hospital Home Care Agency",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Huntsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.