# HEALTH AND HUMAN SERVICES COMMISSION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kerrville State Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033126230
- **Authorized official:** LINDA GARNETT (PROGRAM SUPERVISOR)
- **Authorized official phone:** (512) 913-1580

## Contact information

- **Practice address:** 721 THOMPSON DR, KERRVILLE, TX 78028-5154
- **Practice address phone:** (830) 896-2211
- **Practice address fax:** (830) 896-2373
- **Mailing address:** 4110 GUADALUPE ST, MC-2028, AUSTIN, TX 78751-4223
- **Mailing address phone:** (512) 206-5011
- **Mailing address fax:** (512) 206-5302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | — | TX | — |
| 3336L0003X | Long Term Care Pharmacy | — | TX | Yes |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 11/17/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1081028-01 | — | TX |
| 05 | — | 1081028-02 | — | TX |
| 05 | — | 1273203-02 | — | TX |
| 05 | — | 1273203-03 | — | TX |
| 01 | — | 4540185 | PHARMACY NCPDP NUMBER | TX |
| 01 | — | HH3002 | BCBS DRUG/ALCOHOL | TX |
| 01 | — | HH4631 | BCBS PSYCHIATRIC | TX |