SCOTT & WHITE CLINIC NPI 1093779779

NPI Information

NPI: 1093779779
Provider Name: SCOTT & WHITE CLINIC

Doing Business As: SCOTT & WHITE INFUSION CENTER

Classification: Clinic/Center - 261QI0500X
Entity Type: Organization

Specialization: Infusion Therapy

Address:
1600 UNIVERSITY DR E
COLLEGE STATION, TX
ZIP 77840
Phone: (409) 691-3300
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SCOTT & WHITE CLINIC is an infusion therapy clinic center in College Station, TX. SCOTT & WHITE CLINIC NPI is 1093779779. The provider is registered as an organization entity type.
The provider Is Doing Business As Scott & White Infusion Center.

The provider's business location address is:

1600 UNIVERSITY DR E
COLLEGE STATION, TX
ZIP 77840-642
Phone: (409) 691-3300

The provider's authorized official is Alice Cantu .
The authorized official title is Assoc Vice President, Rco and has the following contact phone number (254) 215-9719.

The enumeration date for this NPI number is 4/12/2006 and was last updated on 12/27/2012.

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	261QI0500X	Clinic/Center	Infusion Therapy			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	00DG13	OTHER	TEXAS	BLUE SHIELD
2	4356110002	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
3	1600678-02	MEDICAID	TEXAS
4	4356110002	OTHER	TEXAS	RR/MEDICARE
5	=========007	OTHER	TEXAS	TRICARE
6	1600678-01	MEDICAID	TEXAS

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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