1306897277 NPI number — COLUMBIA MEDICAL CENTER OF DENTON SUBSIDIARY LP

Table of content: (NPI 1306897277)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306897277 NPI number — COLUMBIA MEDICAL CENTER OF DENTON SUBSIDIARY LP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COLUMBIA MEDICAL CENTER OF DENTON 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:
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:
1306897277
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/16/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3535 S I-35 E
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DENTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76210-6850
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
940-384-3535
Provider Business Mailing Address Fax Number:
940-382-4864

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3535 S I-35 E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DENTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76210-6850
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
940-384-3535
Provider Business Practice Location Address Fax Number:
940-382-4864
Provider Enumeration Date:
05/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PROCTOR
Authorized Official First Name:
ADAM
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
940-384-3206

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: 000953895X , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 016100703 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 11434B , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 166019100 . This is a "DEPT OF LABOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 111905902 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3023777 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4500634 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 642810 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0126922 , issued by the state of ( SD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200046300B , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2511124 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: HH0689 . This is a "BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 149607105 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 806505600 , issued by the state of ( ID ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10025211000 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 910893900 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0160078200 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02653708 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100706730A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 831253200 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".




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