Organization
HENDRICK SOUTHWESTERN HEALTH DEVELOPMENT CORPORATION
Active
Other names
Hendrick Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAM MCELRATH (DIRECTOR)
(325) 670-6988
Entity
Organization
Contact information
Practice address
2371 CROCKETT DR STE 101, BROWNWOOD, TX 76801-5991
(325) 203-5130
(325) 455-2288
Mailing address
PO BOX 115, ABILENE, TX 79604
(325) 673-3711
(325) 673-4639
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0030934
TX
332B00000X
Durable Medical Equipment & Medical Supplies
BEDDING 90939
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0030934
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
0030934
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017033401
—
TX
01
—
107626701
MEDICAID OCP PROGRAM
TX
01
—
519895
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/06/2006
Last updated
06/04/2025
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