1619115383 NPI number — ASCENSION SETON

Table of content: (NPI 1619115383)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619115383 NPI number — ASCENSION SETON

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ASCENSION SETON
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:
ASCENSION SETON HAYS
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:
1619115383
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/03/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1345 PHILOMENA ST.
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78723-3185
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-324-1000
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6001 KYLE PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KYLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78640-6112
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-324-5000
Provider Business Practice Location Address Fax Number:
512-380-7556
Provider Enumeration Date:
02/03/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HOLLY
Authorized Official First Name:
JULIE
Authorized Official Middle Name:
Authorized Official Title or Position:
REG DIR NET REV & REIMB
Authorized Official Telephone Number:
512-324-3269

Provider Taxonomy Codes

  • Taxonomy code: 261QA1903X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 67-0056 . This is a "TX MEDICARE PTAN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".