Fort Duncan Medical Center LP

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

License

547 Issued in TX

Legal business name

FORT DUNCAN MEDICAL CENTER LP

Practice address

3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852

Phone

(830) 773-5321

NPI assigned

Nov 2, 2005

Organization subpart

No

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

Authorized official

Name

Steve Filton

Title

Cfo, Senior VP

Phone

(610) 768-3300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Fort Duncan Regional Medical Center CRNA Group Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1386635951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 N FOSTER MALDONADO BLVD",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "78852",
            "telephone_number": "830-773-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N FOSTER MALDONADO BLVD",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "78852",
            "telephone_number": "830-773-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT DUNCAN MEDICAL CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CFO, SENIOR VP",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "TX",
            "license": "547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "00C71P",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1108037-01",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Fort Duncan Regional Medical Center CRNA Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fort Duncan Regional Medical Center CRNA Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maximo Flores-Salazar, MD
• Maria Consuelo Flores
• Zaida Flores
• Fort Duncan Medical Center L.P
• Fort Duncan Medical Center LP
• Fort Duncan Medical Center LP
• Fort Duncan Medical Center LP
• Fort Duncan Medical Center LP
• Fort Duncan Medical Center, L.P.
• Frances Kypuros

• Emergency Care Clinic/Center in Eagle Pass, TX
• Providers in Eagle Pass, 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 Jan 24, 2022; 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.