HENDERSON HOSPITAL LLC NPI 1952800310

NPI Information

  • NPI: 1952800310
  • Provider Name: HENDERSON HOSPITAL, LLC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • CLIA Number: 45D0960626
  • Address: 300 WILSON ST
    HENDERSON, TX
    ZIP 75652
  • Phone: (903) 655-6536

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NPI Details

HENDERSON HOSPITAL, LLC is a rural health clinic center in Henderson, TX. HENDERSON HOSPITAL, LLC NPI is 1952800310. The provider is registered as an organization entity type.

The provider's business location address is:

300 WILSON ST
HENDERSON, TX
ZIP 75652-956
Phone: (903) 655-6536
Fax: (903) 657-6072

The provider's authorized official is Stephen C. Petrovich .
The authorized official title is Evp and has the following contact phone number (615) 296-3000.

The CLIA number assigned to this NPI record is 45D0960626 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2018 and was last updated on 10/1/2023.

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

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