1972890317 NPI number — VHS BROWNSVILLE HOSPITAL COMPANY LLC

Table of content: (NPI 1972890317)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972890317 NPI number — VHS BROWNSVILLE HOSPITAL COMPANY LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VHS BROWNSVILLE HOSPITAL COMPANY LLC
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:
Provider Other Organization Name Type Code:
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:
1972890317
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/06/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20 BURTON HILLS BLVD
Provider Second Line Business Mailing Address:
SUITE 100, ATTENTION, CAROL BAILEY
Provider Business Mailing Address City Name:
NASHVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37215-6197
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-665-6000
Provider Business Mailing Address Fax Number:
615-665-6184

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1040 W JEFFERSON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROWNSVILLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78520-6338
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-698-5400
Provider Business Practice Location Address Fax Number:
956-698-5747
Provider Enumeration Date:
07/06/2011

Additional Information

Authorized Official

Authorized Official Last Name:
VELA
Authorized Official First Name:
JOSE
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
956-564-2820

Provider Taxonomy Codes

  • Taxonomy code: 314000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 294543804 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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