Gardendale Rehabilitation And Nursing Center

LBN: Coryell County Memorial Hospital Authority
Gardendale Rehabilitation And Nursing Center is an health care organization with primary practice located at 1521 E Rusk St , Jacksonville TX 75766-5505. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Coryell County Memorial Hospital Authority can be contacted via phone (903) 586-3626, or through Byrom, David K via phone (254) 248-6300.

Contact Information

Primary practice address
1521 E Rusk St Jacksonville TX 75766-5505
Phone: (903) 586-3626
Fax: (903) 586-2133
Website:
Map and Directions
Authorized official contact:
Name: Byrom, David K
Phone: (254) 248-6300

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1316354954
LBN Legal business name Coryell County Memorial Hospital Authority
DBA Doing business as Gardendale Rehabilitation And Nursing Center
Authorized official Byrom, David K
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2014
Last updated Jul 15th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316354954 NPPES
Texas MEDICAID 004986

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