Active NPI
Scott & White Clinic
- Infusion Therapy Clinic/Center
- College Station, TX
National Provider Identifier
1093779779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Clinic/Center
- Legal business name
- SCOTT & WHITE CLINIC
- Practice address
- 1600 University Dr E
College Station, TX 77840-2642 - Phone
- (409) 691-3300
- NPI assigned
- Apr 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alice Cantu
- Title
- Assoc Vice President, Rco
- Phone
- (254) 215-9719
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Clinic/Center | 261QI0500X | Primary |
Addresses
Primary practice location
1600 University Dr E
College Station, TX 77840-2642
Mailing address
PO Box 847408
Dallas, TX 75284-7408
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00DG13 | Other | TX | BLUE SHIELD |
| 4356110002 | Other | TX | RR/MEDICARE |
| 1600678-01 | Medicaid | TX | |
| 1600678-02 | Medicaid | TX |
Other names 1
- Scott & White Infusion Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1356566400000",
"number": "1093779779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 847408",
"city": "DALLAS",
"state": "TX",
"postal_code": "752847408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 UNIVERSITY DR E",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778402642",
"telephone_number": "409-691-3300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTT & WHITE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-12",
"last_updated": "2012-12-27",
"status": "A",
"authorized_official_last_name": "CANTU",
"authorized_official_first_name": "ALICE",
"authorized_official_title_or_position": "ASSOC VICE PRESIDENT, RCO",
"authorized_official_telephone_number": "254-215-9719"
},
"taxonomies": [
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00DG13",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR/MEDICARE",
"identifier": "4356110002",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1600678-01",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1600678-02",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Scott & White Infusion Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.