# CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
- **Other names:** Coryell Home Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679518542
- **Legal business name:** CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
- **Authorized official:** MR. DAVID K BYROM CPA (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (254) 248-6301

## Contact information

- **Practice address:** 1507 WEST MAIN STREET, GATESVILLE, TX 76528
- **Practice address phone:** (254) 248-6380
- **Practice address fax:** (254) 865-8605
- **Mailing address:** 402 E MAIN ST, GATESVILLE, TX 76528-1315
- **Mailing address phone:** (254) 248-6380
- **Mailing address fax:** (254) 248-6369

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 001525 | TX | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 06/12/2024