1437102639 NPI number — COLUMBIA MEDICAL CENTER OF MCKINNEY SUBSIDIARY LP

Table of content: (NPI 1437102639)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437102639 NPI number — COLUMBIA MEDICAL CENTER OF MCKINNEY SUBSIDIARY LP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COLUMBIA MEDICAL CENTER OF MCKINNEY 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 MCKINNEY
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:
1437102639
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/03/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4500 MEDICAL CENTER DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MCKINNEY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75069-1650
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-547-8000
Provider Business Mailing Address Fax Number:
972-547-8008

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4500 MEDICAL CENTER DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MCKINNEY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75069-1650
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-547-8000
Provider Business Practice Location Address Fax Number:
972-547-8008
Provider Enumeration Date:
05/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ROWE
Authorized Official First Name:
AARON
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
972-547-8006

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: 26024560 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100286890B , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1702498 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 373877800 . This is a "DEPT OF LABOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: A9023 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01496 , issued by the state of ( ND ) . This identifiers is of the category "MEDICAID".
  • Identifier: 016106205 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10025000100 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200026520A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: HH0082 . This is a "BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0030163 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0574699 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 112698903 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 149652105 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200454270A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 535982 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 06487557 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 165133100 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3810000842 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2283961 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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