1518911833 NPI number — COLUMBIA NORTH HILLS HOSPITAL SUBSIDIARY LP

Table of content: (NPI 1518911833)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518911833 NPI number — COLUMBIA NORTH HILLS HOSPITAL SUBSIDIARY LP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COLUMBIA NORTH HILLS HOSPITAL 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 NORTH HILLS
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:
1518911833
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/02/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4401 BOOTH CALLOWAY RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH RICHLAND HILLS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76180-7371
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
817-255-1000
Provider Business Mailing Address Fax Number:
817-284-4817

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4401 BOOTH CALLOWAY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTH RICHLAND HILLS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76180-7371
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
817-255-1000
Provider Business Practice Location Address Fax Number:
817-284-4817
Provider Enumeration Date:
05/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GALT
Authorized Official First Name:
NICK
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
817-255-1106

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: 146609105 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 166013500 . This is a "DEPT OF LABOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: HH0526 . This is a "BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1702137 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4500087 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0131510 , issued by the state of ( SD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100419430A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2458951 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 004500873 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 07659747 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200350990A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4101454 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7204973 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 806496300 , issued by the state of ( ID ) . This identifiers is of the category "MEDICAID".
  • Identifier: 910696100 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01544852 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 015691801 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 094105602 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10024965500 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100333 , issued by the state of ( OR ) . This identifiers is of the category "MEDICAID".




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