# HENDRICK MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HENDRICK SKILLED NURSING FACILITY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063418937
- **Authorized official:** STEPHEN KIMMEL (CEO)
- **Authorized official phone:** (325) 670-2000

## Contact information

- **Practice address:** 1900 PINE ST, ABILENE, TX 79601-2432
- **Practice address phone:** (325) 670-2000
- **Mailing address:** 1900 PINE ST, ABILENE, TX 79601-2432
- **Mailing address phone:** (325) 670-2000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 000500 | TX | Yes |

## Other

- **Enumeration date:** 06/24/2005
- **Last updated:** 10/11/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 138644306 | — | TX |
| 01 | — | HH2619 | BLUE CROSS BLUE SHEILD | TN |