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Organization
HUGULEY MEMORIAL MEDICAL CENTER
Active
Organization
HUGULEY MEMORIAL MEDICAL CENTER
Active
Other names
Huguley Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PENNY L. JOHNSON (CFO / VICE PRESIDENT)
(817) 551-2704
Entity
Organization
Contact information
Practice address
777 S BURLESON BLVD, BURLESON, TX 76028-4904
(817) 426-2200
(817) 447-7100
Mailing address
777 S BURLESON BLVD, BURLESON, TX 76028-4904
(817) 426-2200
(817) 447-7100
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
000476
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10009901
AMERIGROUP TEXAS MCD
TX
01
—
2224746
AETNA
TX
05
—
23672101
—
TX
01
—
457575
UNITED HEALTHCARE
TX
01
—
HH9081
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/22/2006
Last updated
04/03/2012
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