UNITED REGIONAL HEALTH CARE SYSTEM INC

Provider Demographics

• NPI: 1023013448
• Name: UNITED REGIONAL HEALTH CARE SYSTEM INC
• Entity Type: Organization
• Organization Name: UNITED REGIONAL HEALTH CARE SYSTEM INC
• Other - Org Name: UNITED REGIONAL HEATH CARE SYSTEM
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: PRESIDENT & CHIEF EXECUTIVE OFFICER
• Authorized Official - Prefix: MS
• Authorized Official - First Name: PHYLLIS
• Authorized Official - Middle Name: A
• Authorized Official - Last Name: COWLING
• Authorized Official - Phone: 940-764-3034
• Mailing Address - Street 1: 1600 11TH ST
• Mailing Address - City: WICHITA FALLS
• Mailing Address - State: TX
• Mailing Address - Zip Code: 76301-4388
• Mailing Address - Country: US
• Mailing Address - Phone: 940-764-3034
• Mailing Address - Fax: 940-764-8315
• Practice Address - Street 1: 1600 11TH ST
• Practice Address - City: WICHITA FALLS
• Practice Address - State: TX
• Practice Address - Zip Code: 76301-4388
• Practice Address - Country: US
• Practice Address - Phone: 940-764-3034
• Practice Address - Fax: 940-764-8315
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2005-06-14
• Last Update Date: 2023-07-24

Provider Licenses

State	License ID	Taxonomies
		261QM1300X, 261QR0208X
TX	000417	282N00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	282N00000X	Hospitals	General Acute Care Hospital
No	261QM1300X	Ambulatory Health Care Facilities	Clinic/Center	Multi-Specialty
No	261QR0208X	Ambulatory Health Care Facilities	Clinic/Center	Radiology, Mobile

Provider Identifiers

State	Identifier ID	ID Type	Issuer
SC	10649B	Medicaid
CA	XHSP30169	Medicaid
TX	HH0128	Other	BLUE CROSS OF TEXAS
TX	00L72S	Other	BLUE CROSS HOSP BASED PHY
KS	100103590A	Medicaid
AZ	23340	Medicaid
TX	135237905	Medicaid
CA	XHSP40169	Medicaid
OK	100702600A	Medicaid
TX	135237907	Medicaid
MI	408086137	Medicaid
TX	135237904	Medicaid
TX	135237906	Medicaid
NJ	8303401	Medicaid
TX	135237907	Medicaid
AZ	23340	Medicaid
MI	408086137	Medicaid
TX	135237905	Medicaid
SC	10649B	Medicaid
AZ	23340	Medicaid