| Hamlin Memorial Hospital | |
|
632 Nw 2nd St Hamlin TX 79520-3808 | |
| (325) 576-3646 | |
| (325) 576-3797 |
| Full Name | Hamlin Memorial Hospital |
|---|---|
| Speciality | Family Medicine |
| Location | 632 Nw 2nd St, Hamlin, Texas |
| Authorized Official Name and Position | Tonia Cook (HOSPITAL ADMINISTRATOR) |
| Authorized Official Contact | 3255763646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hamlin Memorial Hospital 632 Nw 2nd St Hamlin TX 79520-3808 Ph: (325) 576-3646 | Hamlin Memorial Hospital 632 Nw 2nd St Hamlin TX 79520-3808 Ph: (325) 576-3646 |
| NPI Number | 1396739710 |
|---|---|
| Provider Enumeration Date | 08/31/2005 |
| Last Update Date | 05/11/2020 |
| Medicare PECOS PAC ID | 2062313679 |
|---|---|
| Medicare Enrollment ID | O20050526000364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396739710 | NPI | - | NPPES |
| 094131202 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 282NR1301X | General Acute Care Hospital - Rural | 00305 (Texas) | Secondary |
| Provider Name | Chad L White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164426086 PECOS PAC ID: 8224179205 Enrollment ID: I20100113000333 |
| Provider Name | Krishna Sunkavalli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689666356 PECOS PAC ID: 6103953252 Enrollment ID: I20100421000256 |
| Provider Name | Delores D Zertuche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629473780 PECOS PAC ID: 3274855655 Enrollment ID: I20141215001563 |
| Provider Name | Tonia L Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114395886 PECOS PAC ID: 6709794654 Enrollment ID: I20160127000324 |
| Provider Name | Mallory D Morrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205316288 PECOS PAC ID: 8820420821 Enrollment ID: I20191113000654 |
| Provider Name | Melodie V Tarr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376173682 PECOS PAC ID: 5890112577 Enrollment ID: I20200825002285 |
| Provider Name | Dee A Fanning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205435112 PECOS PAC ID: 2567877236 Enrollment ID: I20210211001180 |
Hamlin Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 350 Nw Avenue F, Hamlin, TX 79520 Phone: 325-597-3611 Fax: 325-597-3854 |