Organization Active NPI

College Station Hospital LP

Doing business as College Station Medical Center

  • General Acute Care Hospital
  • College Station, TX
National Provider Identifier
1467403477
Registry record updated Sep 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
000071 Issued in TX
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
022501301MedicaidTX
020860501MedicaidTX

Other names 1

  • College Station Medical Center Doing business as

National Provider Directory

National Provider Directory

Ownership & 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.

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

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.

Verify at the official NPI Registry.