1043267701 NPI number — COLUMBIA VALLEY HEALTHCARE SYSTEM, L.P.

Table of content: (NPI 1043267701)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043267701 NPI number — COLUMBIA VALLEY HEALTHCARE SYSTEM, L.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COLUMBIA VALLEY HEALTHCARE SYSTEM, L.P.
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:
1043267701
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/04/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100A E ALTON GLOOR BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BROWNSVILLE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78526-3354
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
956-350-7000
Provider Business Mailing Address Fax Number:
956-350-7111

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100A E ALTON GLOOR BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROWNSVILLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78526-3354
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-350-7000
Provider Business Practice Location Address Fax Number:
956-350-7111
Provider Enumeration Date:
05/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PUENTE
Authorized Official First Name:
DANIEL
Authorized Official Middle Name:
SANCHEZ
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
956-350-7104

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: 670717 . This is a "HEALTHLINK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 020947001 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 165975700 . This is a "US DEPT LABOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 106808100 . This is a "VALLEY" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: HH0717 . This is a "BCBS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 023683500 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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