SID PETERSON MEMORIAL HOSPITAL NPI 1376129296

NPI Information

  • NPI: 1376129296
  • Provider Name: SID PETERSON MEMORIAL HOSPITAL
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: PETERSON COMMUNITY CARE CLINIC RHC
  • Address: 1740 JUNCTION HWY
    KERRVILLE, TX
    ZIP 78028
  • Phone: (830) 258-7900

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NPI Details

SID PETERSON MEMORIAL HOSPITAL is a rural health clinic center in Kerrville, TX. SID PETERSON MEMORIAL HOSPITAL NPI is 1376129296. The provider is registered as an organization entity type.
The provider Is Doing Business As Peterson Community Care Clinic Rhc.

The provider's business location address is:

1740 JUNCTION HWY
KERRVILLE, TX
ZIP 78028-401
Phone: (830) 258-7900

The provider's authorized official is Christopher L Ballesteros .
The authorized official title is Rev Cycle Director, Privacy Officer and has the following contact phone number (830) 258-7343.

The enumeration date for this NPI number is 3/22/2021 and was last updated on 3/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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