Organization
MIDLAND MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM GALLEGOS (BILLING MANAGER)
(432) 682-2154
Entity
Organization
Contact information
Practice address
2200 W ILLINOIS AVE, MIDLAND, TX 79701-6407
(432) 682-2154
Mailing address
2200 W ILLINOIS AVE, MIDLAND, TX 79701-6407
(432) 682-2154
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00ES26
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/13/2006
Last updated
08/22/2020
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