NORTHEAST METHODIST SURGICARE LTD NPI 1568439792

NPI Information

NPI: 1568439792
Provider Name: NORTHEAST METHODIST SURGICARE, LTD

Doing Business As: NORTHEAST METHODIST AMBULATORY SURGERY CENTER

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

Specialization: Ambulatory Surgical

Address:
12702 IH 35 NORTH
LIVE OAK, TX
ZIP 78233
Phone: (210) 575-5700
Get Directions

NORTHEAST METHODIST SURGICARE, LTD is an ambulatory surgical clinic center in Live Oak, TX. NORTHEAST METHODIST SURGICARE, LTD NPI is 1568439792. The provider is registered as an organization entity type.
The provider Is Doing Business As Northeast Methodist Ambulatory Surgery Center.

The provider's business location address is:

12702 IH 35 NORTH
LIVE OAK, TX
ZIP 78233-609
Phone: (210) 575-5700
Fax: (210) 575-5701

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 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	000345	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	HH1386	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
2	49000335555	OTHER	TEXAS	PALMETTO GBA

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »