NPIMap

Organization Active NPI

Hendrick Provider Network

  • Health Maintenance Organization
  • Abilene, TX
National Provider Identifier
1245597558
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
647404 Issued in TX
Legal business name
HENDRICK PROVIDER NETWORK
Practice address
2000 Pine St
Abilene, TX 79601-2434
Phone
(325) 670-6340
NPI assigned
Apr 12, 2012
Last updated
Apr 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Mr. David Stephenson
Title
Hendrick Provider Network Admin
Phone
(325) 670-6340

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 647404 TX
Health Maintenance Organization 302R00000X 647404 TX Primary

Addresses

Primary practice location

2000 Pine St
Abilene, TX 79601-2434

Mailing address

2000 Pine St
Abilene, TX 79601-2434
Phone (325) 670-6340

National Provider Directory

National Provider Directory
Tax ID family
Hendrick Family Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1245597558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012434",
            "telephone_number": "325-670-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012434",
            "telephone_number": "325-670-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRICK PROVIDER NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "HENDRICK PROVIDER NETWORK ADMIN",
        "authorized_official_telephone_number": "325-670-6340",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "647404",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "647404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.