1588734594 NPI number — SOUTH TEXAS EMERGENCY CARE FOUNDATION, INC.

Table of content: (NPI 1588734594)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588734594 NPI number — SOUTH TEXAS EMERGENCY CARE FOUNDATION, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUTH TEXAS EMERGENCY CARE FOUNDATION, 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:
VALLEY AIRCARE
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:
1588734594
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/27/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 533668
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HARLINGEN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78553-3668
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
956-364-2711
Provider Business Mailing Address Fax Number:
956-428-0839

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1705 VERMONT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARLINGEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78550-8914
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-364-2711
Provider Business Practice Location Address Fax Number:
956-428-0839
Provider Enumeration Date:
11/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CALLIER
Authorized Official First Name:
LEONARD
Authorized Official Middle Name:
Authorized Official Title or Position:
DEPUTY DIRECTOR
Authorized Official Telephone Number:
956-364-2711

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  300044 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 176428100 . This is a "U.S. DEPARTMENT OF LABOR" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 0000506663 . This is a "BLUE CROSS BLUE SHIELD TX" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000124001 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 137367100 . This is a "VALLEY BAPTIST HEALTH PLA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 826590521 . This is a "PALMETTO GBA RAILROAD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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