Organization
SCOTT & WHITE MEMORIAL HOSPITAL
Active
Organization
SCOTT & WHITE MEMORIAL HOSPITAL
Active
Parent organization
SCOTT & WHITE MEMORIAL HOSPITAL
Other names
Scott & White Infusion Service, SCOTT & WHITE HOME INFUSION
Organization subpart
Yes
Provider details
NPI number
Legal business name
SCOTT & WHITE MEMORIAL HOSPITAL
Authorized official
CHRISTOPHER L OLSEN (CFO)
(254) 724-4556
Entity
Organization
Contact information
Practice address
5701 AIRPORT RD # PODM164, TEMPLE, TX 76502-7092
(254) 724-2111
Mailing address
PO BOX 847789, DALLAS, TX 75284-7789
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0841450001
RR/MEDICARE
TX
05
—
0913501-02
—
TX
01
—
519136
BLUE CROSS DME
TX
01
—
750421
BLUE CROSS
TX
Enumeration date
04/19/2006
Last updated
08/01/2024
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