1124074273 NPI number — METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P.

Table of content: (NPI 1124074273)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124074273 NPI number — METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
METHODIST HOSPITAL
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1124074273
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/26/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7700 FLOYD CURL DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN ANTONIO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78229-3902
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-575-4000
Provider Business Mailing Address Fax Number:
210-692-4410

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7700 FLOYD CURL DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78229
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-575-4000
Provider Business Practice Location Address Fax Number:
210-692-4410
Provider Enumeration Date:
05/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BERNAL
Authorized Official First Name:
ENRIQUE
Authorized Official Middle Name:
E.
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
210-575-6275

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1757802 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 450388 . This is a "WORKMANS COMP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5000178 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 450388 . This is a "UNICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 80538400 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 95006904 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000045721 . This is a "HUMANA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 236556700 . This is a "US DEPT OF LABOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 092621300 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 148116105 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 300188 . This is a "BLACK LUNG" identifier . This identifiers is of the category "OTHER".
  • Identifier: 100701670A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 450388 . This is a "STERLING OPTION" identifier . This identifiers is of the category "OTHER".
  • Identifier: HH1557 . This is a "BLUE CROSS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 94154402 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0068137 . This is a "AETNA/US HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3341320 . This is a "HEALTHMARKET" identifier . This identifiers is of the category "OTHER".
  • Identifier: XHSP42561 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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