Active NPI
College Station Hospital LP
Doing business as College Station Medical Center
- General Acute Care Hospital
- College Station, TX
National Provider Identifier
1467403477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 000071
- Legal business name
- COLLEGE STATION HOSPITAL LP
- Doing business as
- College Station Medical Center
- Practice address
- 1604 Rock Prairie Rd
College Station, TX 77845-8345 - Phone
- (979) 764-5100
- Fax
- (979) 696-7373
- NPI assigned
- May 15, 2006
- Last updated
- Sep 13, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paula M Lalor
- Title
- Director/Delegated Official
- Phone
- (615) 925-4565
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | ||
| General Acute Care Hospital | 282N00000X | 000071 | TX | Primary |
| Family Medicine Physician | 207Q00000X | NU |
Addresses
Primary practice location
1604 Rock Prairie Rd
College Station, TX 77845-8345
Mailing address
PO Box 848526
Dallas, TX 75284-8526
Phone (979) 764-5100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022501301 | Medicaid | TX | |
| 020860501 | Medicaid | TX |
Other names 1
- College Station Medical Center
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba College Station Medical Center
- Cardiovascular Disease Physician
- College Station, TX
- NPI 1477567360
-
dba College Station Medical Center
- Rehabilitation Hospital Unit
- College Station, TX
- NPI 1548286297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1505260800000",
"number": "1467403477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 848526",
"city": "DALLAS",
"state": "TX",
"postal_code": "752848526",
"telephone_number": "979-764-5100",
"fax_number": "979-696-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 ROCK PRAIRIE RD",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778458345",
"telephone_number": "979-764-5100",
"fax_number": "979-696-7373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLLEGE STATION HOSPITAL LP",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-15",
"last_updated": "2017-09-13",
"status": "A",
"authorized_official_last_name": "LALOR",
"authorized_official_first_name": "PAULA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
"authorized_official_telephone_number": "615-925-4565"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "TX",
"license": "000071",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022501301",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020860501",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "College Station Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in College Station, TX
- Cooper Coley
- College Station Chiropractic
- College Station Chiropractic, P.C.
- College Station Dentistry and Orthodontics PLLC (College Station Dentistry and Orthodontics)
- College Station ER, LLC (Signature Care Emergency Center - College Station)
- College Station Hospital LP (College Station Medical Center)
- College Station Hospital LP (College Station Medical Center)
- College Station I Enterprises, L.L.C. (Fortress Nursing and Rehabilitation)
- College Station III Enterprises, LLC (Five Points Nursing & Rehabilitation of College Station)
- College Station Imaging Center (Advanced Diagnostic Imaging)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.