Organization
SCOTT & WHITE MEMORIAL HOSPITAL
Active
Organization
SCOTT & WHITE MEMORIAL HOSPITAL
Active
Other names
Baylor Scott & White Dialysis Center - Killeen
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER L OLSEN (CFO)
(254) 724-4556
Entity
Organization
Contact information
Practice address
3701 SCOTT AND WHITE DR, KILLEEN, TX 76543-5228
(254) 680-1371
Mailing address
PO BOX 847790, DALLAS, TX 75284-7790
(254) 215-9522
(254) 215-9524
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
007218
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1127375-03
—
TX
01
—
HH6327
BLUE CROSS
TX
Enumeration date
04/19/2006
Last updated
08/01/2024
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