1760637250 NPI number — HILL COUNTRY SAN ANTONIO MANAGEMENT INC

Table of content: (NPI 1760637250)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760637250 NPI number — HILL COUNTRY SAN ANTONIO MANAGEMENT INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HILL COUNTRY SAN ANTONIO MANAGEMENT INC
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:
EAST TEXAS HILL COUNTRY
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:
1760637250
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/25/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4142 MCKNIGHT RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TEXARKANA
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75503-0844
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
903-691-2514
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4142 MCKNIGHT RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TEXARKANA
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75503-0844
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
903-691-2514
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/25/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SMITH
Authorized Official First Name:
SANDY
Authorized Official Middle Name:
Authorized Official Title or Position:
REGIONAL PROGRAM DIRECTOR
Authorized Official Telephone Number:
210-340-8256

Provider Taxonomy Codes

  • Taxonomy code: 251C00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 001008469 . This is a "TEXAS DEPARTMENT OF AGING AND DISABILITY" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".