Organization
SCOTT & WHITE MEMORIAL HOSPTIAL AND SCOTT, SHERWOOD AND BRINDLEY FOUND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES PEARSON (OPERATIONS MANAGER)
(254) 724-5632
Entity
Organization
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-5632
Mailing address
PO BOX 840531, DALLAS, TX 75284-0531
(254) 724-5630
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
014002
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000582901
AMERIGROUP
TX
05
—
000582901
—
TX
05
—
1733962
—
LA
01
—
528069
BC/BS
TX
01
—
74166904
TRICARE
TX
Enumeration date
10/25/2006
Last updated
04/28/2008
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