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Organization

HEALTH AND HUMAN SERVICES COMMISSION

Active
Other names
Kerrville State Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA GARNETT (PROGRAM SUPERVISOR)
(512) 913-1580
Entity
Organization

Contact information

Practice address
721 THOMPSON DR, KERRVILLE, TX 78028-5154
(830) 896-2211
(830) 896-2373
Mailing address
4110 GUADALUPE ST, MC-2028, AUSTIN, TX 78751-4223
(512) 206-5011
(512) 206-5302

Taxonomy

Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
TX
3336L0003X
Long Term Care Pharmacy
Primary
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1081028-01
TX
05
1081028-02
TX
05
1273203-02
TX
05
1273203-03
TX
01
4540185
PHARMACY NCPDP NUMBER
TX
01
HH3002
BCBS DRUG/ALCOHOL
TX
01
HH4631
BCBS PSYCHIATRIC
TX
Enumeration date
08/01/2006
Last updated
11/17/2023
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