1629185566 NPI number — BEXAR COUNTY MHMR BOARD OF TRUSTEES

Table of content: (NPI 1629185566)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629185566 NPI number — BEXAR COUNTY MHMR BOARD OF TRUSTEES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BEXAR COUNTY MHMR BOARD OF TRUSTEES
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:
THE CENTER FOR HEALTH CARE SERVICES
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:
1629185566
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/26/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6800 PARK TEN BLVD STE 200S
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN ANTONIO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78213-4293
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-261-1000
Provider Business Mailing Address Fax Number:
210-261-1821

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8155 LONE SHADOW TRL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CONVERSE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78109-2436
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-659-5857
Provider Business Practice Location Address Fax Number:
210-659-7460
Provider Enumeration Date:
08/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GARCIA
Authorized Official First Name:
EUGENE
Authorized Official Middle Name:
Authorized Official Title or Position:
CREDENTIALING SUPERVISOR
Authorized Official Telephone Number:
210-261-1072

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 320900000X , with the licence number: 004276 , 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: 001007414 . This is a "HCS CONTRACT NUMBER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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