Hill Country Memorial Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

007933 Issued in TX

Legal business name

HILL COUNTRY MEMORIAL SURGERY CENTER, LLC

Practice address

204 Gateway N Ste B
Marble Falls, TX 78654-6361

Phone

(830) 798-1821

Fax

(830) 693-6452

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Debbye W Dooley

Title

Vice President

Phone

(830) 997-1378

Specialties & licenses 1

Addresses

Other identifiers 2

Listed as

Hill Country Memorial Surgery CenterCCN 45C0001233

Medicare certification status

Terminated Voluntary: merger or closure, Mar 31, 2023From the Provider of Services file

Locations

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1427134998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 GATEWAY N STE B",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786546361",
            "telephone_number": "830-798-1821",
            "fax_number": "830-693-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 GATEWAY N STE B",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786546361",
            "telephone_number": "830-798-1821",
            "fax_number": "830-693-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILL COUNTRY MEMORIAL SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "DOOLEY",
        "authorized_official_first_name": "DEBBYE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "830-997-1378",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "007933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HH1234",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156910501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Highland Lakes Psychological Services, PLLC
• Highland Lakes Urology PA
• Hill Country Advanced Foot and Ankle Center, P.a.
• Hill Country Allergy & Asthma, PLLC
• Hill Country Bone Density, Inc.
• Hill Country Pain Associates, P.a.
• Hill Country Pediatric Denistry PA
• Hill Country Pelvic Health PLLC
• Hill Country Primary Care Physicians
• Hill Country Psychiatric Associates

• Ambulatory Surgical Clinic/Center in Marble Falls, TX
• Providers in Marble Falls, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.