Provider Demographics
NPI:1891882833
Name:HILLCREST BAPTIST MEDICAL CENTER
Entity Type:Organization
Organization Name:HILLCREST BAPTIST MEDICAL CENTER
Other - Org Name:BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:SHELLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-202-9450
Mailing Address - Street 1:PO BOX 844658
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-4658
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 HILLCREST MEDICAL BLVD
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-8897
Practice Address - Country:US
Practice Address - Phone:254-202-5631
Practice Address - Fax:254-202-5651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000506282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1790214Medicaid
OK100701060AMedicaid
TX138962904Medicaid
NMA0447Medicaid
104027100OtherHBMC FIRSTCARE PROV. #
AR114048105Medicaid
TX138962906Medicaid
TX138962907Medicaid
CAXHSP32065Medicaid
TX101669OtherCHIPS - SUPERIOR INS.
HH0122OtherHBMC BCBC OF TX PROV. #
104024100OtherFIRSTCARE HBMC PHYS GRP
TX138962905Medicaid
TX138962912Medicaid
TX13896902Medicaid
HH0122OtherHBMC BCBC OF TX PROV. #
CAXHSP32065Medicaid
450101Medicare Oscar/Certification
HH0122OtherHBMC BCBC OF TX PROV. #
TX138962905Medicaid