NPIMap

Organization Active NPI

Hendrick Medical Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Abilene, TX
National Provider Identifier
1427601673
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
HENDRICK MEDICAL CENTER
Practice address
820 N 19TH St
Abilene, TX 79601-2400
Phone
(325) 670-5619
NPI assigned
Jul 17, 2019
Organization subpart
Yes
Parent organization
HENDRICK MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Authorized official

Name
Jeremy Tyler Walker
Title
Cfo
Phone
(325) 670-2182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

820 N 19TH St
Abilene, TX 79601-2400

Mailing address

PO Box 3642
Abilene, TX 79604-3642

Other names 1

  • Hendrick Dialysis Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221214003167 TX Part A Provider - End-Stage Renal Disease Facility (ESRD) 1658281993 Practice locations: Abilene, TX

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Hendrick Medical CenterCCN 453521
Overall star rating
2.0 of 5
Ownership
Non-profit
Certified
Sep 1, 2022
Medicare certification status
ActiveFrom the Provider of Services file
Chain
Other
Dialysis stations
13

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2331350Hendrick Medical Center820 N 19TH Street, Abilene, TX 79601Certificate of waiverSep 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Hendrick Medical Center10 organizations share this tax ID, including this one
Part of
Hendrick Medical Center

Other organizations with this tax ID 9

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

Member of 1

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

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hendrick Medical CenterAbilene, TX, CCN 45T229 Hospital Operational/Managerial Control Jun 1, 1966
Hendrick Medical Center BrownwoodBrownwood, TX, CCN 450587 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 27, 2020
Hendrick Skilled Nursing FacilityAbilene, TX, CCN 455683 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 5, 1986
Dec 5, 1986
Hendrick Home HealthAbilene, TX, CCN 457761 Home health agency Operational/Managerial Control May 14, 1985
Hendrick Hospice Care, Inc.Abilene, TX, CCN 451539 Hospice Operational/Managerial Control (100%) May 5, 2009

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1427601673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3642",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796043642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N 19TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012400",
            "telephone_number": "325-670-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRICK MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENDRICK MEDICAL CENTER",
        "enumeration_date": "2019-07-17",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "325-670-2182"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hendrick Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.