College Station Hospital LP

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

COLLEGE STATION HOSPITAL LP

Practice address

1604 Rock Prairie Rd
College Station, TX 77845-8345

Phone

(979) 764-5100

Fax

(979) 696-7373

NPI assigned

Jul 28, 2006

Organization subpart

Yes

Parent organization

COLLEGE STATION HOSPITAL LPAs reported in NPPES

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

Authorized official

Name

Laurie Holtsford

Title

Director /Auth Official

Phone

(615) 465-7466

Specialties & licenses 2

Addresses

Other names 1

• College Station Medical Center Doing business as

Part of

College Station Medical

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• College Station Hospital LP

  • General Acute Care Hospital
  • College Station, TX
  • NPI 1467403477
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachael Heritage, PTA

  • Physical Therapy Assistant
  • College Station, TX
  • NPI 1487138640
  NPD (past)
• Sebastine I Elendu, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Cheyenne, WY
  • NPI 1073536074
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1477567360",
    "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": "YES",
        "parent_organization_legal_business_name": "COLLEGE STATION HOSPITAL LP",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "DIRECTOR /AUTH OFFICIAL",
        "authorized_official_telephone_number": "615-465-7466"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "College Station Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• College Station Chiropractic
• College Station Chiropractic, P.C.
• College Station Dentistry and Orthodontics PLLC
• College Station ER, LLC
• College Station Hospital LP
• College Station Hospital LP
• College Station I Enterprises, L.L.C.
• College Station III Enterprises, LLC
• College Station Imaging Center
• College Station Isd

• All providers in College Station, TX
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.