SCOTT & WHITE MEMORIAL HOSPITAL NPI 1922063320

NPI Information

NPI: 1922063320
Provider Name: SCOTT & WHITE MEMORIAL HOSPITAL

Doing Business As: BAYLOR SCOTT & WHITE DIALYSIS CENTER - KILLEEN

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 45D0920049

Address:
3701 SCOTT AND WHITE DR
KILLEEN, TX
ZIP 76543
Phone: (254) 680-1371
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SCOTT & WHITE MEMORIAL HOSPITAL is an end-stage renal disease (esrd) treatment clinic center in Killeen, TX. SCOTT & WHITE MEMORIAL HOSPITAL NPI is 1922063320. The provider is registered as an organization entity type.
The provider Is Doing Business As Baylor Scott & White Dialysis Center - Killeen.

The provider's business location address is:

3701 SCOTT AND WHITE DR
KILLEEN, TX
ZIP 76543-228
Phone: (254) 680-1371

The provider's authorized official is Shahin Motakef .
The authorized official title is Ceo and has the following contact phone number (254) 724-6583.

The CLIA number assigned to this NPI record is 45D0920049 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/19/2006 and was last updated on 1/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	007218	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1127375-03	MEDICAID	TEXAS
2	HH6327	OTHER	TEXAS	BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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