Provider Demographics
NPI:1649310012
Name:HILL COUNTY MEDICAL CENTER P A
Entity type:Organization
Organization Name:HILL COUNTY MEDICAL CENTER P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:PRITCHETT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:254-582-8475
Mailing Address - Street 1:1313 E FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:TX
Mailing Address - Zip Code:76645-2621
Mailing Address - Country:US
Mailing Address - Phone:254-582-8475
Mailing Address - Fax:254-582-7686
Practice Address - Street 1:1313 E FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:TX
Practice Address - Zip Code:76645-2621
Practice Address - Country:US
Practice Address - Phone:254-582-8475
Practice Address - Fax:254-582-7686
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARESTREAM MANAGEMENT COMPANY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-07
Last Update Date:2011-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6588111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0096DJOtherBLUE CROSS GROUP NUMBER
TX0096DJOtherBLUE CROSS GROUP NUMBER
TX53799Medicare UPIN