Organization
GONZALES HEALTHCARE SYSTEMS
Active
Parent organization
GONZALES HEALTHCARE SYSTEM
Other names
Memorial Hospital Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
GONZALES HEALTHCARE SYSTEM
Authorized official
MS. AMANDA FREDERICK MSN, RN (HOME HEALTH ADMINISTRATOR)
(830) 672-9508
Entity
Organization
Contact information
Practice address
1314 N SARAH DEWITT DR, GONZALES, TX 78629-3314
(830) 672-7581
(830) 672-2401
Mailing address
PO BOX 587, GONZALES, TX 78629-0587
(830) 672-7581
(830) 672-2401
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
001500
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023701801
—
TX
05
—
6483
—
TX
05
—
8600
—
TX
Enumeration date
07/19/2005
Last updated
04/19/2023
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