PVDM-RIM ED NPI 1033661913

NPI Information

NPI: 1033661913
Provider Name: PVDM-RIM ED

Doing Business As: FULL SPECTRUM EMERGENCY ROOM AT THE RIM

Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

Address:
18007 W IH 10
SAN ANTONIO, TX
ZIP 78257
Phone: (210) 530-1040
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PVDM-RIM ED is an emergency care clinic center in San Antonio, TX. PVDM-RIM ED NPI is 1033661913. The provider is registered as an organization entity type.
The provider Is Doing Business As Full Spectrum Emergency Room At The Rim.

The provider's business location address is:

18007 W IH 10
SAN ANTONIO, TX
ZIP 78257
Phone: (210) 530-1040
Fax: (210) 530-1187

The provider's authorized official is Peter Van Delden .
The authorized official title is Ceo and has the following contact phone number (210) 445-4450.

The CLIA number assigned to this NPI record is 45D2118780 - other - freestanding emerg with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/26/2016 and was last updated on 10/21/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0002X	Clinic/Center	Emergency Care	160291	TEXAS	Yes

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: 4/28/2024

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