# JOHNS COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DME
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679797831
- **Authorized official:** ERNEST BALLA RN, MBA (CEO)
- **Authorized official phone:** (512) 352-4716

## Contact information

- **Practice address:** 305 MALLARD LN, TAYLOR, TX 76574-1208
- **Practice address phone:** (512) 352-4716
- **Practice address fax:** (512) 352-4734
- **Mailing address:** 305 MALLARD LN, TAYLOR, TX 76574-1208
- **Mailing address phone:** (512) 352-4716
- **Mailing address fax:** (512) 352-4734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 44 | TX | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 08/22/2020