1881742179 NPI number — GENERAL HOSPITAL

Table of content: (NPI 1881742179)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881742179 NPI number — GENERAL HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GENERAL HOSPITAL
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:
IRAAN GENERAL HOSPITAL DISTRICT
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:
1881742179
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/15/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 665
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
IRAAN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79744-0665
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
432-639-3438
Provider Business Mailing Address Fax Number:
432-639-6253

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
600 HWY 349 NORTH
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
IRAAN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79744-0665
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
432-639-3438
Provider Business Practice Location Address Fax Number:
432-639-6253
Provider Enumeration Date:
01/05/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CALLAHAN
Authorized Official First Name:
TERESA
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
432-639-2575

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 2083P0901X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QC0050X , with the licence number: 000258 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 112728401 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 105375100 . This is a "FIRST CARE PROVIDER NUMBE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 112728404 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00BW33 . This is a "BLUE CROSS PROVIDER NUMBE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com