NPIMap

Organization Active NPI

Methodist Healthcare System of San Antonio,LTD,LLP

  • Nursing Facility/Intermediate Care Facility
  • Live Oak, TX
National Provider Identifier
1023248754
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
724055 Issued in TX
Legal business name
METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO,LTD,LLP
Practice address
12412 Judson Rd
Live Oak, TX 78233-3255
Phone
(210) 757-7000
NPI assigned
Jul 15, 2009
Organization subpart
Yes
Parent organization
METHODIST MINISTRIES OF SAN ANTONIO IN SOUTH TEXASAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mark L. Bernard, FACHE
Title
Ceo
Phone
(210) 757-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 724055 TX Primary

Addresses

Primary practice location

12412 Judson Rd
Live Oak, TX 78233-3255

Mailing address

10230 Mission CRK
Converse, TX 78109-1680
Phone (210) 592-8254

Other names 1

  • Northeast Methodist Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
San Antonio Cimmunity H35 organizations share this tax ID, including this one
Part of
San Antonio Cimmunity H

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1023248754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 MISSION CRK",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781091680",
            "telephone_number": "210-592-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12412 JUDSON RD",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333255",
            "telephone_number": "210-757-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO,LTD,LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METHODIST MINISTRIES OF SAN ANTONIO IN SOUTH TEXAS",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-757-7000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FACHE"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "724055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Methodist Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Live Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.