NPIMap

Organization Active NPI

Central Texas Veteran'S Health Care System

  • General Acute Care Hospital
  • Temple, TX
National Provider Identifier
1477588820
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
S19559 Issued in TX
Legal business name
CENTRAL TEXAS VETERAN'S HEALTH CARE SYSTEM
Practice address
1901 S 1St St # 122
Temple, TX 76504-7451
Phone
(254) 778-4811
Fax
(254) 743-0110
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John Petek, MSW
Title
Chief of Social Work Service
Phone
(254) 778-4811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X S19559 TX Primary

Addresses

Primary practice location

1901 S 1St St # 122
Temple, TX 76504-7451

Mailing address

22 Estate TRL
Belton, TX 76513-6257
Phone (254) 778-4811

Other identifiers 1

IdentifierTypeStateIssuer
S19559OtherTXSOCIAL WORK LICENSE #

Other names 1

  • Temple VA Hospital Other name

National Provider Directory

National Provider Directory
Tax ID family
James a Haley Veterans' Hospital179 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

1901 S 1st St
#122
Temple, TX 76504
Phone (254) 743-0521

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477588820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ESTATE TRL",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765136257",
            "telephone_number": "254-778-4811",
            "fax_number": "254-743-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S 1ST ST # 122",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765047451",
            "telephone_number": "254-778-4811",
            "fax_number": "254-743-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS VETERAN'S HEALTH CARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETEK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF OF SOCIAL WORK SERVICE",
        "authorized_official_telephone_number": "254-778-4811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "S19559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE #",
            "identifier": "S19559",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Temple VA Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.