Organization
PRHC ENNIS LP
Active
Other names
Ennis Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY TEAGUE (VICE PRESIDENT, CORPORATE SECRETARY)
(629) 253-5121
Entity
Organization
Contact information
Practice address
2201 W LAMPASAS ST, ENNIS, TX 75119-5644
(972) 875-0900
(972) 875-1844
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
(615) 920-8913
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
007145
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10031085
AMERICAID
TX
05
—
121822401
—
TX
05
—
121822403
—
TX
01
—
6466
PARKLAND
TX
01
—
91544
AMERICAID
TX
01
—
HH0977
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/19/2006
Last updated
03/11/2024
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