Provider Type Icon

UNIVERSITY HEALTH SYSTEM - KENWOOD CLINIC NPI 1033246418


NPI Information

NPI: 1033246418
Provider Name: UNIVERSITY HEALTH SYSTEM - KENWOOD CLINIC

Doing Business As: UNIVERSITY HEALTH SYSTEM

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 45D1090306

Address:
302 DORA ST
SAN ANTONIO, TX
ZIP 78212
Phone: (210) 736-1536
Get Directions

UNIVERSITY HEALTH SYSTEM - KENWOOD CLINIC is a public health or welfare in San Antonio, TX. UNIVERSITY HEALTH SYSTEM - KENWOOD CLINIC NPI is 1033246418. The provider is registered as an organization entity type.
The provider Is Doing Business As University Health System.

The provider's business location address is:

302 DORA ST
SAN ANTONIO, TX
ZIP 78212-516
Phone: (210) 736-1536

The provider's authorized official is George Hernandez .
The authorized official title is Data Security Administrator and has the following contact phone number (210) 358-2000.

The CLIA number assigned to this NPI record is 45D1090306 - health fair with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 12/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251K00000XPublic Health or WelfareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1126881507MEDICAIDTEXAS
2107603609MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.