Walker County Hospital Corporation

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

WALKER COUNTY HOSPITAL CORPORATION

Practice address

3638 Highway 19
Huntsville, TX 77320-0464

Phone

(936) 291-3219

Fax

(936) 291-7206

NPI assigned

Jul 28, 2014

Last updated

Feb 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Shannon Brown, CFO

Title

Manager

Phone

93629125230

Specialties & licenses 1

Addresses

Other names 1

• Huntsville Memorial Med Clinic - Riverside Other name

Locations

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1700294295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEMORIAL HOSPITAL DR",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3638 HIGHWAY 19",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773200464",
            "telephone_number": "936-291-3219",
            "fax_number": "936-291-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER COUNTY HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "93629125230",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huntsville Memorial Med Clinic - Riverside",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Walgreen Co (Walgreens #04999)
• Walk in Wellness Acute Care PLLC
• Walker County (Huntsville-Walker County Emergency Medical Service)
• Walker County Hospital Corporation (Huntsville Memorial Hospital)
• Walker County Hospital Corporation
• Walker County Hospital Corporation (Huntsville Memorial Hospital)
• Walker County Hospital Corporation (Huntsville Memorial Hospital)
• Fred Eugene Walker II, PHARMD
• Martel Walker
• Tiffany Walla, MS, RD, LD

• Rural Health Clinic/Center in Huntsville, TX
• Providers in Huntsville, TX by specialty
• Rural Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.