Provider Demographics
NPI:1982874590
Name:COUNTY OF WARD
Entity Type:Organization
Organization Name:COUNTY OF WARD
Other - Org Name:WARD MEMORIAL HOSPITAL RADIOLOGY GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:PADRAIC
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-943-2511
Mailing Address - Street 1:406 S GARY AVE
Mailing Address - Street 2:
Mailing Address - City:MONAHANS
Mailing Address - State:TX
Mailing Address - Zip Code:79756-4799
Mailing Address - Country:US
Mailing Address - Phone:432-943-2511
Mailing Address - Fax:432-943-6833
Practice Address - Street 1:406 S GARY AVE
Practice Address - Street 2:
Practice Address - City:MONAHANS
Practice Address - State:TX
Practice Address - Zip Code:79756-4799
Practice Address - Country:US
Practice Address - Phone:432-943-2511
Practice Address - Fax:432-943-6833
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WARD COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-11
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000468247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistGroup - Single Specialty