NPIMap

Organization Active NPI

Coryell County Memorial Hospital Authority

Doing business as Hillcrest Coryell Medical Clinic

  • Family Medicine Physician
  • Gatesville, TX
National Provider Identifier
1952531824
Registry record updated Jul 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
346 Issued in TX
Legal business name
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Doing business as
Hillcrest Coryell Medical Clinic
Practice address
3401 East Main Street
Gatesville, TX 76528-1028
Phone
(254) 865-8251
Fax
(254) 248-6306
NPI assigned
Jul 24, 2009
Last updated
Jul 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2009

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

Authorized official

Name
Ms. Twila Gail Weaver
Title
Insurance Rep
Phone
(254) 248-6204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 346 TX Primary

Addresses

Primary practice location

3401 East Main Street
Gatesville, TX 76528-1028

Mailing address

1507 W Main St
Gatesville, TX 76528-1024
Phone (254) 865-8251

Other names 1

  • Hillcrest Coryell Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mills County Medical CL39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248393600000",
    "number": "1952531824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 W MAIN ST",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765281024",
            "telephone_number": "254-865-8251",
            "fax_number": "254-248-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 EAST MAIN STREET",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765281028",
            "telephone_number": "254-865-8251",
            "fax_number": "254-248-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-24",
        "last_updated": "2009-07-24",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "TWILA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "INSURANCE REP",
        "authorized_official_telephone_number": "254-248-6204",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillcrest Coryell Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gatesville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; 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.