Provider Demographics
NPI:1356324172
Name:SMITHVILLE HOSPITAL AUTHORITY
Entity Type:Organization
Organization Name:SMITHVILLE HOSPITAL AUTHORITY
Other - Org Name:SMITHVILLE REGIONAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:NORALENE
Authorized Official - Middle Name:
Authorized Official - Last Name:CORDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-237-5773
Mailing Address - Street 1:800 E HIGHWAY 71
Mailing Address - Street 2:
Mailing Address - City:SMITHVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78957-1730
Mailing Address - Country:US
Mailing Address - Phone:512-237-3214
Mailing Address - Fax:512-237-5768
Practice Address - Street 1:800 E HIGHWAY 71
Practice Address - Street 2:
Practice Address - City:SMITHVILLE
Practice Address - State:TX
Practice Address - Zip Code:78957-1730
Practice Address - Country:US
Practice Address - Phone:512-237-3214
Practice Address - Fax:512-237-5768
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SMITHVILLE HOSPITAL AUTHORITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-11-25
Last Update Date:2009-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00135XMedicare PIN