1780809269 NPI number — UNITED MEDICAL CENTERS

Table of content: (NPI 1780809269)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780809269 NPI number — UNITED MEDICAL CENTERS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNITED MEDICAL CENTERS
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:
UNITED MEDICAL CENTERS, INC.
Provider Other Organization Name Type Code:
5
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:
1780809269
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1470
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EAGLE PASS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78853-1470
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
830-872-3140
Provider Business Mailing Address Fax Number:
830-773-0151

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2525 N VETERANS BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EAGLE PASS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78852-3302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
830-872-3140
Provider Business Practice Location Address Fax Number:
830-773-0151
Provider Enumeration Date:
04/17/2007

Additional Information

Authorized Official

Authorized Official Last Name:
WORRELL
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
M
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
830-773-8917

Provider Taxonomy Codes

  • Taxonomy code: 3336C0002X , with the licence number:  11245 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 4585254 . This is a "NCPDP #" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com