1699726406 NPI number — COLUMBIA MEDICAL CENTER OF PLANO SUBSIDIARY LP

Table of content: (NPI 1699726406)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699726406 NPI number — COLUMBIA MEDICAL CENTER OF PLANO SUBSIDIARY LP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COLUMBIA MEDICAL CENTER OF PLANO SUBSIDIARY LP
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:
MEDICAL CITY PLANO
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:
1699726406
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/24/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3901 W 15TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLANO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75075-7738
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-596-6800
Provider Business Mailing Address Fax Number:
972-519-1295

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3901 W 15TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLANO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75075-7738
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-596-6800
Provider Business Practice Location Address Fax Number:
972-519-1295
Provider Enumeration Date:
05/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
STEIN
Authorized Official First Name:
BRAD
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
972-519-1520

Provider Taxonomy Codes

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

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

  • Identifier: 166012100 . This is a "DEPT OF LABOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1700550 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 20001779 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2374621 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0220769 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 119358900 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 390562636A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 60004851 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 146007105 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 823577 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: XHSP33441 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 016152308 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 031243600 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 127311205 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200027750A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4500651 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: HOS0651N , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200391040A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 806728400 , issued by the state of ( ID ) . This identifiers is of the category "MEDICAID".
  • Identifier: 9802091000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".




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