NPIMap

Organization Active NPI

Abilene Regional MHMR Center

  • Multi-Specialty Clinic/Center
  • Abilene, TX
National Provider Identifier
1689640716
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ABILENE REGIONAL MHMR CENTER
Practice address
2616 S Clack
Ste 160
Abilene, TX 79606-1557
Phone
(325) 690-5131
Fax
(325) 690-5228
NPI assigned
Feb 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Jennifer K Goode, CEO CHIEF EXECUTIVE
Title
Ceo
Phone
(325) 690-5135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2616 S Clack
Ste 160
Abilene, TX 79606-1557

Mailing address

2616 S Clack
Ste 160
Abilene, TX 79606-1557
Phone (325) 690-5131

Other names 1

  • The Betty Hardwick MHMR Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Abilene Regional Ctr MH10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689640716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 S CLACK",
            "address_2": "STE 160",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796061557",
            "telephone_number": "325-690-5131",
            "fax_number": "325-690-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 S CLACK",
            "address_2": "STE 160",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796061557",
            "telephone_number": "325-690-5131",
            "fax_number": "325-690-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILENE REGIONAL MHMR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOODE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "325-690-5135",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CEO CHIEF EXECUTIVE"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Betty Hardwick MHMR Center",
            "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 Aug 22, 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.