Coryell County Memorial Hospital Authority

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY

Practice address

3509 Rogge LN
Austin, TX 78723-3640

Phone

(512) 926-2070

Fax

(512) 926-9570

NPI assigned

Jul 28, 2014

Organization subpart

No

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

Authorized official

Name

Mr. David K Byrom

Title

Ceo

Phone

(254) 248-6301

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• OASIS AT AUSTIN Doing business as

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1962810465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 ROGGE LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233640",
            "telephone_number": "512-926-2070",
            "fax_number": "512-926-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 ROGGE LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233640",
            "telephone_number": "512-926-2070",
            "fax_number": "512-926-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "BYROM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "254-248-6301",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004570",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OASIS AT AUSTIN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Celia Corujo Gomez
• Melissa Rose Corwin
• Andi Corya
• Coryell County Memorial Hospital Authority
• Coryell County Memorial Hospital Authority
• Carla Cos, RD,LD
• Jalyn Cosby, M.S. CCC-SLP
• Pedro Eugenio Cosculluela, MD
• Robert J Cosentino, MD
• Elena N Cosenza, CNS

• Skilled Nursing Facility in Austin, TX
• Providers in Austin, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.