The Emergency Center at Alamo Ranch, LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

THE EMERGENCY CENTER AT ALAMO RANCH, LLC

Practice address

11320 Alamo Ranch Parkway
San Antonio, TX 78253

Phone

(877) 336-6898

NPI assigned

May 10, 2017

Last updated

Nov 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keith Butler, MDNPI 1679519391

Title

Manager

Phone

(888) 732-3317

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174059208. Details of each certification follow.

• CCN 670232 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 670232

Legal name

THE EMERGENCY CENTER AT ALAMO RANCH, LLC

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

May 8, 2020

Last certification

May 8, 2020

Beds

1

Ownership / control type

Private (not for profit)

Facility address

11320 Alamo Ranch Pkwy
San Antonio, TX 78253

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith Claude Butler, MD MBA FACEP CPE

  • Emergency Medicine Physician
  • Gilbert, AZ
  • NPI 1679519391
  Authorized official Same address or phone

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1174059208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S VAL VISTA DR STE A3-620",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852960942",
            "telephone_number": "888-732-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11320 ALAMO RANCH PARKWAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78253",
            "telephone_number": "877-336-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EMERGENCY CENTER AT ALAMO RANCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-10",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "888-732-3317",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emergency Care Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.