METHODIST MEDICAL CENTER ASC LP NPI 1972570117

NPI Information

NPI: 1972570117
Provider Name: METHODIST MEDICAL CENTER ASC LP

Doing Business As: METHODIST AMBULATORY SURGERY CENTER MEDICAL CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 45D2023592

Address:
4411 MEDICAL DR
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 575-4584
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METHODIST MEDICAL CENTER ASC LP is an ambulatory surgical clinic center in San Antonio, TX. METHODIST MEDICAL CENTER ASC LP NPI is 1972570117. The provider is registered as an organization entity type.
The provider Is Doing Business As Methodist Ambulatory Surgery Center Medical Center.

The provider's business location address is:

4411 MEDICAL DR
SAN ANTONIO, TX
ZIP 78229-822
Phone: (210) 575-4584
Fax: (210) 575-4521

The provider's authorized official is Timothy A Carr .
The authorized official title is Chief Financial Officer and has the following contact phone number (210) 575-0238.

The CLIA number assigned to this NPI record is 45D2023592 - ambulatory surgery center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/7/2006 and was last updated on 8/22/2020.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	007852	TEXAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	HH031A	OTHER	TEXAS	BLUE CROSS BLUE SHIELD

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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