Provider Demographics
NPI:1619991171
Name:TERRY MEMORIAL HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:TERRY MEMORIAL HOSPITAL DISTRICT
Other - Org Name:BROWNFIELD REGIONAL MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-637-3551
Mailing Address - Street 1:705 E FELT ST
Mailing Address - Street 2:
Mailing Address - City:BROWNFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:79316-3439
Mailing Address - Country:US
Mailing Address - Phone:806-637-3551
Mailing Address - Fax:806-637-8102
Practice Address - Street 1:705 E FELT ST
Practice Address - Street 2:
Practice Address - City:BROWNFIELD
Practice Address - State:TX
Practice Address - Zip Code:79316-3439
Practice Address - Country:US
Practice Address - Phone:806-637-3551
Practice Address - Fax:806-637-8102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX128094105OtherFIRSTCARE SCHULZE
NM78680352Medicaid
TX119165100OtherFIRSTCARE MCMEANS
TX144529801Medicaid
NMP6318Medicaid
NM000L9048Medicaid
TX110206101OtherFIRSTCARE CHEBIB
TX124741101OtherFIRSTCARE STELLE
TX128225104OtherFIRSTCARE BHUSHAN
TX0062DEOtherBCBS PRO-FEE
TX102620100OtherFIRSTCARE PRO-FEE
NM23381256Medicaid
TX100261105OtherFIRSTCARE TEDFORD
NML0441Medicaid
TX130618501Medicaid
TX130618501Medicaid
TX110206101OtherFIRSTCARE CHEBIB
TX128094105OtherFIRSTCARE SCHULZE
TX8D6203Medicare ID - Type UnspecifiedHELEN HOOVER
TX144529801Medicaid