Organization
UNITED REGIONAL HEALTH CARE SYSTEM INC
Active
Other names
United Regional Heath Care System
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORY EDMONDSON (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(940) 764-3034
Entity
Organization
Contact information
Practice address
1600 11TH ST, WICHITA FALLS, TX 76301-4388
(940) 764-3034
(940) 764-8315
Mailing address
1600 11TH ST, WICHITA FALLS, TX 76301-4388
(940) 764-3034
(940) 764-8315
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
000417
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00L72S
BLUE CROSS HOSP BASED PHY
TX
05
—
100103590A
—
KS
05
—
100702600A
—
OK
05
—
10649B
—
SC
05
—
135237904
—
TX
05
—
135237905
—
TX
05
—
135237906
—
TX
05
—
135237907
—
TX
05
—
23340
—
AZ
05
—
408086137
—
MI
05
—
8303401
—
NJ
01
—
HH0128
BLUE CROSS OF TEXAS
TX
05
—
XHSP30169
—
CA
05
—
XHSP40169
—
CA
Enumeration date
06/14/2005
Last updated
03/12/2025
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