Provider Demographics
NPI:1568641942
Name:ABILENE REGIONAL MHMR CENTER
Entity Type:Organization
Organization Name:ABILENE REGIONAL MHMR CENTER
Other - Org Name:BETTY HARDWICK MHMR CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:PALIVEC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-690-5131
Mailing Address - Street 1:2616 S CLACK ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-1557
Mailing Address - Country:US
Mailing Address - Phone:325-690-5131
Mailing Address - Fax:325-690-5228
Practice Address - Street 1:765 ORANGE ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-5011
Practice Address - Country:US
Practice Address - Phone:325-690-5131
Practice Address - Fax:325-690-5228
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BETTY HARDWCIK MHMR CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency