# CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coryell Memorial Healthcare System
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568417491
- **Authorized official:** MRS. TWILA GAIL WEAVER (INSURANCE MEDICARE BILLER)
- **Authorized official phone:** (254) 248-6204

## Contact information

- **Practice address:** 1507 WEST MAIN STREET, GATESVILLE, TX 76528-1024
- **Practice address phone:** (254) 865-8251
- **Practice address fax:** (254) 248-6306
- **Mailing address:** 1507 WEST MAIN STREET, GATESVILLE, TX 76528-1024
- **Mailing address phone:** (254) 865-8251
- **Mailing address fax:** (254) 248-6306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | TX | — |
| 282N00000X | General Acute Care Hospital | — | TX | Yes |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 07/21/2022