Provider Demographics
NPI:1922277177
Name:SWISHER MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:SWISHER MEMORIAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-995-3581
Mailing Address - Street 1:539 SE 2ND ST
Mailing Address - Street 2:
Mailing Address - City:TULIA
Mailing Address - State:TX
Mailing Address - Zip Code:79088-2400
Mailing Address - Country:US
Mailing Address - Phone:806-995-3588
Mailing Address - Fax:806-995-1041
Practice Address - Street 1:539 SE 2ND ST
Practice Address - Street 2:
Practice Address - City:TULIA
Practice Address - State:TX
Practice Address - Zip Code:79088-2400
Practice Address - Country:US
Practice Address - Phone:806-995-3588
Practice Address - Fax:806-995-1041
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SWISHER MEMORIAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-21
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207PE0004X
TX000273282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Multi-Specialty
No282NC0060XHospitalsGeneral Acute Care HospitalCritical AccessGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX106383100Other1ST CARE ER PROF GRP #
TX106384100OtherFIRST CARE
TX130721710Medicaid
TX00J85TOtherBLUE SHIELD ER PROF GROUP #
TX130721709Medicaid
TXHH0321OtherBCBS
TX451349Medicare Oscar/Certification