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Organization

KELL WEST REGIONAL HOSPITAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JERRY K MYERS MD (CEO)
(940) 692-5888
Entity
Organization

Contact information

Practice address
5420 KELL BLVD, WICHITA FALLS, TX 76310-1610
(940) 692-5888
(940) 692-0915
Mailing address
5420 KELL BLVD, WICHITA FALLS, TX 76310-1610
(940) 692-5888
(940) 692-0915

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
006814
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
168648701
TX
01
HH0966
BLUE CROSS
TX
Enumeration date
08/04/2006
Last updated
09/16/2010
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