# CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hearne Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265867758
- **Authorized official:** DAVID BYROM (CEO)
- **Authorized official phone:** (254) 248-6204

## Contact information

- **Practice address:** 1101 W BROWN ST, HEARNE, TX 77859-3064
- **Practice address phone:** (979) 279-5361
- **Practice address fax:** (979) 279-2457
- **Mailing address:** 1101 W BROWN ST, HEARNE, TX 77859-3064
- **Mailing address phone:** (979) 279-5361
- **Mailing address fax:** (979) 279-2457

## Taxonomy

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

## Other

- **Enumeration date:** 09/04/2013
- **Last updated:** 09/04/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004722 | — | TX |