Active NPI
Henderson Memorial Hospital
- Certified Registered Nurse Anesthetist
- Henderson, TX
National Provider Identifier
1730123464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- HENDERSON MEMORIAL HOSPITAL
- Doing business as
- Henderson Memorial Hospital CRNA
- Practice address
- 300 Wilson St
Henderson, TX 75652-5956 - Phone
- (903) 657-7541
- NPI assigned
- Jun 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kevin Storey
- Title
- Cfo
- Phone
- (903) 655-3618
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
300 Wilson St
Henderson, TX 75652-5956
Mailing address
300 Wilson St
Henderson, TX 75652-5956
Phone (903) 657-7541
Other names 1
- Henderson Memorial Hospital CRNA
National Provider Directory
National Provider DirectoryLocations
300 Wilson St
#2E
Henderson, TX 75652
Phone (903) 655-3618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202169600000",
"number": "1730123464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 WILSON ST",
"city": "HENDERSON",
"state": "TX",
"postal_code": "756525956",
"telephone_number": "903-657-7541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 WILSON ST",
"city": "HENDERSON",
"state": "TX",
"postal_code": "756525956",
"telephone_number": "903-657-7541"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENDERSON MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-15",
"last_updated": "2008-02-05",
"status": "A",
"authorized_official_last_name": "STOREY",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "903-655-3618",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Henderson Memorial Hospital CRNA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Henderson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.