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CR EMERGENCY ROOM LLC NPI 1043641749


NPI Information

NPI: 1043641749
Provider Name: CR EMERGENCY ROOM, LLC

Doing Business As: BAYLOR SCOTT & WHITE EMERGENCY HOSPITAL COLLEYVILLE

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 45D0675617

Address:
5500 COLLEYVILLE BLVD
COLLEYVILLE, TX
ZIP 76034
Phone: (214) 294-6350
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CR EMERGENCY ROOM, LLC is a general acute care hospital in Colleyville, TX. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. CR EMERGENCY ROOM, LLC NPI is 1043641749. The provider is registered as an organization entity type.
The provider Is Doing Business As Baylor Scott & White Emergency Hospital Colleyville.

The provider's business location address is:

5500 COLLEYVILLE BLVD
COLLEYVILLE, TX
ZIP 76034
Phone: (214) 294-6350
Fax: (713) 637-1305

The provider's authorized official is Tina Johnson .
The authorized official title is Provider Enrollment Coordinator and has the following contact phone number (713) 637-1146.

The CLIA number assigned to this NPI record is 45D0675617 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2013 and was last updated on 10/23/2018.


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
1282N00000XGeneral Acute Care HospitalYes

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
1303478701MEDICAIDTEXAS

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: 5/5/2024

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