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SOUTHLAKE SPECIALTY HOSPITAL LLC NPI 1609071976


NPI Information

NPI: 1609071976
Provider Name: SOUTHLAKE SPECIALTY HOSPITAL, LLC

Doing Business As: TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
1545 SOUTHLAKE BLVD.
SOUTHLAKE, TX
ZIP 76092
Phone: (817) 748-8784
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SOUTHLAKE SPECIALTY HOSPITAL, LLC is a general acute care hospital in Southlake, 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. SOUTHLAKE SPECIALTY HOSPITAL, LLC NPI is 1609071976. The provider is registered as an organization entity type.
The provider Is Doing Business As Texas Health Harris Methodist Hospital Southlake.

The provider's business location address is:

1545 SOUTHLAKE BLVD.
SOUTHLAKE, TX
ZIP 76092-422
Phone: (817) 748-8784
Fax: (817) 748-8787

The provider's authorized official is Traci Bernard .
The authorized official title is President and has the following contact phone number (817) 748-8784.

The enumeration date for this NPI number is 6/18/2007 and was last updated on 2/7/2014.


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 Hospital008128TEXASYes

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=========OTHERTEXASTAX ID NUMBER
2450888MEDICARE OSCAR/CERTIFICATION
3HH1061OTHERTEXASBLUE CROSS PROVIDER ID
4171461002MEDICAIDTEXAS

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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