Organization
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Active
Parent organization
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Other names
Coryell Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Authorized official
MR. DAVID K BYROM CPA (CHIEF EXECUTIVE OFFICER)
(254) 248-6301
Entity
Organization
Contact information
Practice address
1507 WEST MAIN STREET, GATESVILLE, TX 76528
(254) 248-6380
(254) 865-8605
Mailing address
402 E MAIN ST, GATESVILLE, TX 76528-1315
(254) 248-6380
(254) 248-6369
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
001525
TX
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000064100
PRIMARY HOME CARE VENDOR
TX
01
—
00063680
COMMUNITY BASED ALTERNATI
TX
05
—
KD4576680
—
TX
Enumeration date
06/17/2006
Last updated
06/12/2024
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