Active NPI
Hospice of South Texas, Inc
Doing business as Palliative Care Center of South Texas
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Victoria, TX
National Provider Identifier
1336451046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- M8837
- Legal business name
- HOSPICE OF SOUTH TEXAS, INC
- Doing business as
- Palliative Care Center of South Texas
- Practice address
- 605 E Locust Ave
Victoria, TX 77901-3933 - Phone
- (361) 572-4300
- Fax
- (361) 570-1147
- NPI assigned
- Jul 10, 2010
- Last updated
- Jan 3, 2020
- Organization subpart
- Yes
- Parent organization
- HOSPICE OF SOUTH TEXAS, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anne A McIntosh, MBA
- Title
- Chief Financial Officer
- Phone
- (361) 572-4300
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | M8837 | TX | Primary |
| Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician | 207VH0002X | E6195 | TX |
Addresses
Primary practice location
605 E Locust Ave
Victoria, TX 77901-3933
Mailing address
605 E Locust Ave
Victoria, TX 77901-3933
Phone (361) 572-4300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202547001 | Medicaid | TX | |
| 32TG | Other | TX | BCBS |
Other names 1
- Palliative Care Center of South Texas
National Provider Directory
National Provider Directory- Tax ID family
- Hospice of South Texas Inc
- Part of
- Hospice of South Texas Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Victoria, TX
- NPI 1881697274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578009600000",
"number": "1336451046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 E LOCUST AVE",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779013933",
"telephone_number": "361-572-4300",
"fax_number": "361-570-1147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 E LOCUST AVE",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779013933",
"telephone_number": "361-572-4300",
"fax_number": "361-570-1147"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPICE OF SOUTH TEXAS, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HOSPICE OF SOUTH TEXAS, INC",
"enumeration_date": "2010-07-10",
"last_updated": "2020-01-03",
"certification_date": "2020-01-03",
"status": "A",
"authorized_official_last_name": "MCINTOSH",
"authorized_official_first_name": "ANNE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "361-572-4300",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "TX",
"license": "M8837",
"primary": true
},
{
"code": "207VH0002X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Hospice and Palliative Medicine",
"state": "TX",
"license": "E6195",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202547001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "32TG",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Palliative Care Center of South Texas",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Palliative Care Center of South Texas",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.