Organization
COUNTY OF WARD
Active
Other names
Ward Memorial Hospital ER Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PADRAIC WHITE (CHIEF FINANCIAL OFFICER)
(432) 943-2511
Entity
Organization
Contact information
Practice address
406 S GARY AVE, MONAHANS, TX 79756-4799
(432) 943-2511
(432) 943-6833
Mailing address
PO BOX 40, MONAHANS, TX 79756-0040
(432) 943-2511
(432) 943-6833
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
468
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G59L
BLUE CROSS ER GROUP
TX
05
—
136331903
—
TX
Enumeration date
10/10/2006
Last updated
11/17/2010
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