# CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hillside Medical Lodge
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427345347
- **Authorized official:** DAVID BYROM (CEO)
- **Authorized official phone:** (254) 248-6245

## Contact information

- **Practice address:** 300 S HIGHWAY 36 BYP N, GATESVILLE, TX 76528-2764
- **Practice address phone:** (254) 865-8275
- **Practice address fax:** (254) 865-6344
- **Mailing address:** 300 S HIGHWAY 36 BYP N, GATESVILLE, TX 76528-2764
- **Mailing address phone:** (254) 865-7575

## Taxonomy

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

## Other

- **Enumeration date:** 06/29/2011
- **Last updated:** 08/20/2025