Organization 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
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
M8837 Issued in TX
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, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
HOSPICE OF SOUTH TEXAS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
202547001MedicaidTX
32TGOtherTXBCBS

Other names 1

  • Palliative Care Center of South Texas Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hospice of South Texas Inc2 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.