NPIMap

Organization Active NPI

University of the Incarnate Word

  • Health Service Clinic/Center
  • San Antonio, TX
National Provider Identifier
1275926115
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
UNIVERSITY OF THE INCARNATE WORD
Practice address
4301 Broadway St # 30
San Antonio, TX 78209-6318
Phone
(210) 829-6017
NPI assigned
Mar 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Authorized official

Name
Dr. Corinne Jedynak-Bell
Title
Assoc Dean Health Services
Phone
(210) 829-6017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

4301 Broadway St # 30
San Antonio, TX 78209-6318

Mailing address

4301 Broadway St # 30
San Antonio, TX 78209-6318
Phone (210) 829-6017

National Provider Directory

National Provider Directory
Tax ID family
Eye Vision Care Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

4301 Broadway
#35
San Antonio, TX 78209

4301 Broadway
Ste 30
San Antonio, TX 78209

4301 Broadway
#30
San Antonio, TX 78209
Phone (210) 829-3126

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1275926115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 BROADWAY ST # 30",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782096318",
            "telephone_number": "210-829-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 BROADWAY ST # 30",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782096318",
            "telephone_number": "210-829-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF THE INCARNATE WORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "JEDYNAK-BELL",
        "authorized_official_first_name": "CORINNE",
        "authorized_official_title_or_position": "ASSOC DEAN HEALTH SERVICES",
        "authorized_official_telephone_number": "210-829-6017",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.