Provider Demographics
NPI:1497726343
Name:HILL COUNTRY MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:HILL COUNTRY MEMORIAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BRAUDWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-997-1387
Mailing Address - Street 1:PO BOX 835
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78624-0835
Mailing Address - Country:US
Mailing Address - Phone:830-997-4353
Mailing Address - Fax:830-997-1300
Practice Address - Street 1:1020 HWY 16 S
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:TX
Practice Address - Zip Code:78624-4471
Practice Address - Country:US
Practice Address - Phone:830-997-4353
Practice Address - Fax:830-997-1300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX136430905Medicaid
TX136430906Medicaid
TXHH0659OtherBLUE CROSS