NPIMap

Organization Active NPI

Hendrick Southwestern Health Developement Corporation

  • Audiologist-Hearing Aid Fitter
  • Abilene, TX
National Provider Identifier
1568461663
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
HENDRICK SOUTHWESTERN HEALTH DEVELOPEMENT CORPORATION
Practice address
1934 Hickory St
Abilene, TX 79601-2336
Phone
(325) 670-2134
Fax
(325) 670-4390
NPI assigned
Jul 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Authorized official

Name
Tim Riley
Title
Director
Phone
(325) 670-2134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X Primary

Addresses

Primary practice location

1934 Hickory St
Abilene, TX 79601-2336

Mailing address

1934 Hickory St
Abilene, TX 79601-2336
Phone (325) 670-2134

Other identifiers 2

IdentifierTypeStateIssuer
098AWOtherTXBCBS OF TEXAS GROUP NUMBE
081484001MedicaidTX

Other names 1

  • Hendrick Hearing Health Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1568461663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 HICKORY ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012336",
            "telephone_number": "325-670-2134",
            "fax_number": "325-670-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 HICKORY ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012336",
            "telephone_number": "325-670-2134",
            "fax_number": "325-670-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRICK SOUTHWESTERN HEALTH DEVELOPEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "325-670-2134"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS GROUP NUMBE",
            "identifier": "098AW",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081484001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hendrick Hearing Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hendrick Hearing Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 29, 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.