1760870166 NPI number — CHG HOSPITAL MCALLEN, LLC

Table of content: (NPI 1760870166)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760870166 NPI number — CHG HOSPITAL MCALLEN, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHG HOSPITAL MCALLEN, 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:
6
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:
1760870166
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/20/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
680 S 4TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOUISVILLE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40202-2407
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
502-596-6063
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
301 W EXPRESSWAY 83 FL 8
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MCALLEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78503-3045
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-632-4880
Provider Business Practice Location Address Fax Number:
956-632-4891
Provider Enumeration Date:
01/07/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
TRAYLOR
Authorized Official First Name:
JOHNETTA
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
502-596-6063

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 355796901 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".