Organization
HENDRICK SOUTHWESTERN HEALTH DEVELOPMENT CORPORATION
Active
Other names
Hendrick Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN BESSENT (AVP)
(325) 670-6067
Entity
Organization
Contact information
Practice address
105 E ARIZONA AVE, SWEETWATER, TX 79556-7117
(325) 235-8500
(325) 235-8527
Mailing address
PO BOX 115, ABILENE, TX 79604-0115
(325) 673-3711
(325) 673-4639
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0035126
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0035126
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
0035126
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017032601
—
TX
01
—
107626701
MEDICAID CCP PROGRAM
TX
01
—
B519895
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/06/2006
Last updated
06/04/2025
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