| Organization Name: | CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY |
| NPI Number: | 1265575104 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FRED H GRAY (EMS DIRECTOR) |
| Mailing Address: | 1507 W Main St Gatesville |
| State: | TX US |
| Postal Code: | 765281024 |
| Phone Number: | 2548651248 |
| Fax Number: | 2548651363 |
| NPI Enumeration Date: | 02/14/2007 |
| NPI Last Update Date: | 08/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 050001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |