Basic Information
Provider Information | |||||||||
NPI: | 1093786204 | ||||||||
EntityType: | 2 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: | NHCI OF HILLSBORO INC | ||||||||
LastName: |   | ||||||||
FirstName: |   | ||||||||
MiddleName: |   | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: |   | ||||||||
OtherOrganizationName: | HILL REGIONAL HOSPITAL | ||||||||
OtherOrganizationType: | 3 | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 101 CIRCLE DR | ||||||||
Address2: |   | ||||||||
City: | HILLSBORO | ||||||||
State: | TX | ||||||||
PostalCode: | 766452670 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 2545808951 | ||||||||
FaxNumber: |   | ||||||||
Practice Location | |||||||||
Address1: | 101 CIRCLE DR | ||||||||
Address2: |   | ||||||||
City: | HILLSBORO | ||||||||
State: | TX | ||||||||
PostalCode: | 766452670 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 2545808500 | ||||||||
FaxNumber: |   | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 01/27/2006 | ||||||||
LastUpdateDate: | 10/13/2020 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: |   | ||||||||
AuthorizedOfficialLastName: | SPEIGHT | ||||||||
AuthorizedOfficialFirstName: | REBECCA | ||||||||
AuthorizedOfficialMiddleName: | LEE | ||||||||
AuthorizedOfficialTitleorPosition: | VICE PRESIDENT | ||||||||
AuthorizedOfficialTelephone: | 4692975336 | ||||||||
IsSoleProprietor: |   | ||||||||
IsOrganizationSubpart: | N | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 10/13/2020 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 000383 | TX | Y |   | Hospitals | General Acute Care Hospital |   |
ID Information
ID | Type | State | Issuer | Description | 133252005 | 05 | TX |   | MEDICAID | 0490079 | 01 |   | AETNA | OTHER | 0013207 | 01 |   | HARRIS METHODIST | OTHER | 104022100 | 01 |   | FIRSTCARE | OTHER | 323527500450192 | 01 |   | LABOR | OTHER | 100701440A | 05 | OK |   | MEDICAID | 4291505 | 01 |   | AETNA | OTHER | H04501922 | 05 | TX |   | MEDICAID | HH0140 | 01 |   | BCBS | OTHER |